Provider Demographics
NPI:1053341172
Name:ESTRELLA, EFREN C (MD)
Entity type:Individual
Prefix:DR
First Name:EFREN
Middle Name:C
Last Name:ESTRELLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36100 N BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-4571
Mailing Address - Country:US
Mailing Address - Phone:847-535-7900
Mailing Address - Fax:847-535-8761
Practice Address - Street 1:36100 N BROOKSIDE DR
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-4571
Practice Address - Country:US
Practice Address - Phone:847-535-7900
Practice Address - Fax:847-535-8761
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine