Provider Demographics
NPI:1215953559
Name:STRIEGEL, PAUL G (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:G
Last Name:STRIEGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:15300 WEST AVE STE 223
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-4509
Mailing Address - Country:US
Mailing Address - Phone:708-226-2440
Mailing Address - Fax:708-923-7876
Practice Address - Street 1:15300 WEST AVE
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-4600
Practice Address - Country:US
Practice Address - Phone:708-671-0990
Practice Address - Fax:708-671-0994
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2022-03-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL36-093927207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036093927Medicaid
IL036093927Medicaid
ILBS5136076OtherDEA