MEDICARE: MS. BARBARA ELLEN OBERG RN, APN

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	364S00000X	Clinical Nurse Specialist	041-140569	IL

General Provider Information

NPI Number	:	1629281621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA ELLEN OBERG RN, APN

Provider Business Mailing Address
First Line	:	817 LOCUST DR
Second Line	:
City	:	SLEEPY HOLLOW
State	:	IL
Zip	:	60118-1907
Country	:	US
Telephone Number	:	847-844-9930
Fax Number	:

Provider Business Practice Location Address
First Line	:	880 W CENTRAL RD STE 4400
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-2355
Country	:	US
Telephone Number	:	847-618-3226
Fax Number	:	847-618-3229

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

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	07/08/2007

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