MEDICARE: DR. ALFONSO E NOBLEZA M.D.

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
1	207R00000X	Internal Medicine Physician	036077887	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	F400234706	OTHER	IL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12618087	OTHER	IL	CAQH
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	QMX000000107300	OTHER	IL	AETNA BETTER HEALTH

General Provider Information

NPI Number	:	1326013236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALFONSO E NOBLEZA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3603
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60522-3603
Country	:	US
Telephone Number	:	773-772-7858
Fax Number	:	773-276-6668

Provider Business Practice Location Address
First Line	:	326 W 64TH ST
Second Line	:	SUITE 208
City	:	CHICAGO
State	:	IL
Zip	:	60621-3114
Country	:	US
Telephone Number	:	773-962-3900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	03/07/2023

Similar Medicare Providers

1992704381 — JAMES EDWARD BECKETT M.D.
Practice Location Address:

326 W 64TH ST , ST BERNARD HOSPITAL DEPT RADIOLOGY
CHICAGO, IL
60621-3114

Practice Phone: 773-962-4030
Practice Fax: 773-962-4399

1326040304 — JENNIFER S. HONG-SURAPIBOONCHAI CRNA
Practice Location Address:

326 W 64TH ST , ST. BERNARD HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL
60621-3114

Practice Phone: 773-962-4100
Practice Fax:

1265434245 — DAVID L. KINTANAR M.D.
Practice Location Address:

326 W 64TH ST , ST. BERNARD HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL
60621-3114

Practice Phone: 773-962-4100
Practice Fax:

1144201674 — YOUN JIN RHEE M.D.
Practice Location Address:

326 W 64TH ST
CHICAGO, IL
60621-3114

Practice Phone: 773-994-2920
Practice Fax: 773-994-1003

1134194103 — GAMA, LLC
Practice Location Address:

326 W 64TH ST , SUITE 208
CHICAGO, IL
60621-3114

Practice Phone: 773-962-3900
Practice Fax:

1073589891 — DR. BRAHMA N GUPTA M.D.
Practice Location Address:

326 W 64TH ST , SUITE 208
CHICAGO, IL
60621-3114

Practice Phone: 773-962-3900
Practice Fax:

Directions to “ DR. ALFONSO E NOBLEZA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.