Paul Martin Stromborg, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036051314 Issued in IL

Practice address

954 West State Street
Sycamore, IL 60118

Phone

(815) 895-9144

Fax

(815) 899-4234

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prairie Health Care, LTD

  • Family Medicine Physician
  • Sycamore, IL
  • NPI 1871718551

  Internal Medicine

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1881622694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 WEST STATE STREET",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "60118",
            "telephone_number": "815-895-9144",
            "fax_number": "815-899-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 WEST STATE STREET",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "60118",
            "telephone_number": "815-895-9144",
            "fax_number": "815-899-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROMBORG",
        "first_name": "PAUL",
        "middle_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036051314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051314",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Stephen, M.D
• Bonnie Stewart-Henson, SLP
• Kathryn Stiltner, PHARMD
• Taylor Stinnett, DO
• Elzbieta Stolarski, P.T.
• David Sui, M.D.
• Allison Kathleen Sullivan, DMD
• Denise C Sullivan
• Christina Marie Swanson, ATC
• Robert Alan Swartz, M.D.

• Internal Medicine Physician in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.