Provider Demographics
NPI:1417217415
Name:STRANGE, JEHU (MD DABFM)
Entity Type:Individual
Prefix:
First Name:JEHU
Middle Name:
Last Name:STRANGE
Suffix:
Gender:M
Credentials:MD DABFM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 ROCKLAND RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAKE BLUFF
Mailing Address - State:IL
Mailing Address - Zip Code:60044-1778
Mailing Address - Country:US
Mailing Address - Phone:847-475-2273
Mailing Address - Fax:
Practice Address - Street 1:525 ROCKLAND RD STE 100
Practice Address - Street 2:
Practice Address - City:LAKE BLUFF
Practice Address - State:IL
Practice Address - Zip Code:60044-1778
Practice Address - Country:US
Practice Address - Phone:847-475-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-23
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036138593207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine