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Jon S. Strutzenberg, DO

Family Medicine in Winnebago, IL. Individual provider (NPI-1).

NPI number1174633366
StatusActive
Last updated in NPPESJan 18, 2010

Details

NPI
1174633366
Entity type
Individual (NPI-1)
Name
Jon S. Strutzenberg
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Aug 30, 2006
Last updated
Jan 18, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine036-098843ILYes

Practice location

102 Landmark Dr
Winnebago, IL 61088

Phone 815-971-2000

Mailing address

102 Landmark Dr
Winnebago, IL 61088

Phone 815-971-2000

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