Individual
DR. PAUL STEVEN MENET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
245 S GARY AVE, SUITE 202, BLOOMINGDALE, IL 60108-2228
(630) 893-2190
(630) 307-8716
Mailing address
245 S GARY AVE, SUITE 202, BLOOMINGDALE, IL 60108-2228
(630) 893-2190
(630) 307-8716
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036047587
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047587
—
IL
01
—
2232209
BLUE CROSS/BLUE SHIELD
IL
01
—
2265655
CIGNA PROVIDER NUMBER
IL
01
—
P00049565
MEDICARE RAILROAD
IL
01
—
P00843099
RAILROAD MEDICARE
IL
Enumeration date
10/25/2006
Last updated
10/19/2010
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