Individual
DR. PAUL J JAGIELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 E OGDEN AVE, STE 202, WESTMONT, IL 60559-5569
(630) 789-9785
(630) 789-9798
Mailing address
700 E OGDEN AVE, STE 202, WESTMONT, IL 60559-5569
(630) 789-9785
(630) 789-9798
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036092726
IL
207RP1001X
Pulmonary Disease Physician
Primary
036092726
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
036092726
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1615809
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/28/2005
Last updated
05/11/2009
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