Boblick, John
Boblick, John is an individual health care provider with primary practice located at 2160 S First Ave (300 N. York Rd, Elmhurst, Il. 60126), Maywood IL 60153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Boblick, John can be contacted via phone (708) 327-7030.Contact Information
Primary practice address
2160 S First Ave (300 N. York Rd, Elmhurst, Il. 60126)
Maywood IL 60153
Phone: (708) 327-7030
Fax: (630) 833-8834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36068462 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 36068462 | Illinois |
Profile Details
| NPI number | 1285600676 |
|---|---|
| LBN Legal business name | Boblick, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Jul 28th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285600676 | NPPES |
| Illinois | MEDICAID | 36068462 |
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