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Individual

PAUL GEORGE BAMBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1213 OAK ST, NORTH AURORA, IL 60542-2006
(630) 504-2200
Mailing address
694 SHEEHAN AVE, GLEN ELLYN, IL 60137-6367
(312) 318-1759

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
05/30/2018
Last updated
05/30/2018
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