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Individual

DR. GREGORY L OSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
370 SUMMIT ST, SUITE 5, ELGIN, IL 60120-3843
(847) 741-0372
Mailing address
370 SUMMIT ST, SUITE 5, ELGIN, IL 60120-3843
(847) 741-0372

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-054784
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036-054784
IL
2083A0100X
Aerospace Medicine Physician
36-054784
IL

Other

Enumeration date
02/07/2009
Last updated
02/07/2009
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