MEDICARE: ANA M TOBIASZ 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	207VM0101X	Maternal & Fetal Medicine Physician	036178865	IL
2	207V00000X	Obstetrics & Gynecology Physician	4301096385	MI

General Provider Information

NPI Number	:	1538471248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA M TOBIASZ M.D.

Provider Business Mailing Address
First Line	:	250 E SUPERIOR ST STE 5-2149
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2914
Country	:	US
Telephone Number	:	312-472-4685
Fax Number	:	213-472-0511

Provider Business Practice Location Address
First Line	:	676 N SAINT CLAIR ST STE 10-1000
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2927
Country	:	US
Telephone Number	:	312-695-7382
Fax Number	:	312-695-0014

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

Provider Enumeration Date	:	07/10/2010
Last Update Date	:	04/07/2026

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