Individual
MR. PAUL T. PRINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 W NORTH AVE, SUITE 607, MELROSE PARK, IL 60160-1634
(708) 681-7809
(708) 681-7808
Mailing address
675 W NORTH AVE, SUITE 607, MELROSE PARK, IL 60160-1634
(708) 681-7809
(708) 681-7808
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036081375
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01625553
BC/BS
IL
05
—
036081375
—
IL
Enumeration date
05/25/2006
Last updated
04/28/2021
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