Obeso, Mary Beth
Obeso, Mary Beth is an individual health care provider with primary practice located at 1100 Lake St Suite 210, Oak Park IL 60301-1015. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Obeso, Mary Beth can be contacted via phone (708) 848-4188.Contact Information
Primary practice address
1100 Lake St Suite 210
Oak Park IL 60301-1015
Phone: (708) 848-4188
Fax: (708) 524-2142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036095647 | Illinois |
Profile Details
| NPI number | 1760461818 |
|---|---|
| LBN Legal business name | Obeso, Mary Beth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2006 |
| Last updated | Mar 24th, 2021 - about 4 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 | 1760461818 | NPPES |
| Illinois | Other | 01615849 | BCBS |
| Illinois | MEDICAID | 036095647 | BCBS |
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