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Individual

PAUL FINLY DETJEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
534 GREEN BAY RD, KENILWORTH, IL 60043-1801
(847) 256-5505
(847) 256-5567
Mailing address
534 GREEN BAY RD, KENILWORTH, IL 60043-1801
(847) 256-5505
(847) 256-5567

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036072795
IL
207K00000X
Allergy & Immunology Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036072795
IL
Enumeration date
09/07/2005
Last updated
05/04/2026
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