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NPI Code Detail

MEDICARE: DR. ALEXA ROSE OBERSTER DO

MEDICARE: DR. ALEXA ROSE OBERSTER DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician125088470IL

General Provider Information

NPI Number : 1992630412
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXA ROSE OBERSTER DO
Provider Business Mailing Address
First Line : 360 W HUBBARD ST APT 808
Second Line :
City : CHICAGO
State : IL
Zip : 60654-5783
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5140 N CALIFORNIA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-3645
Country : US
Telephone Number : 773-878-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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