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NPI Code Detail

MEDICARE: GENEVIEVE OBROCHTA M.D.

MEDICARE: GENEVIEVE OBROCHTA 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
1207L00000XAnesthesiology Physician036-100406IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508898685
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENEVIEVE OBROCHTA M.D.
Provider Business Mailing Address
First Line : 333 DIXIE HWY
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-1748
Country : US
Telephone Number : 708-709-6227
Fax Number :
Provider Business Practice Location Address
First Line : 333 DIXIE HWY
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-1748
Country : US
Telephone Number : 708-709-6227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 12/28/2011

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