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PAUL FINLY DETJEN MD

Allergy and Immunology

Kenilworth, Illinois

Provider NPI: 1396739298

Provider Information:
 PAUL FINLY DETJEN MD


Practice Location:
534 GREEN BAY RD  KENILWORTH, IL 60043 US
Tel: 847-256-5505  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
IL

Other Provider Identifiers:

IssuerNumberStateType
55374004
L7249902
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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