Individual
DR. PAUL HENRY GLEIXNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 418, CHICAGO, IL 60631
(773) 775-2180
(773) 775-8996
Mailing address
1000 REMINGTON BLVD STE 100, BOLINGBROOK, IL 60440-4707
(630) 914-2469
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-116579
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1621149
BLUE SHIELD PROVIDER ID
IL
Enumeration date
06/12/2007
Last updated
03/17/2021
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