Individual
DR. GREGORY L OSTROM
Active
Individual
DR. GREGORY L OSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
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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