Sroubek, Otakar
Sroubek, Otakar is an individual health care provider with primary practice located at 7447 W Talcott Ave Suite 200, Chicago IL 60631-3745. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Sroubek, Otakar can be contacted via phone (773) 774-5020.Contact Information
Primary practice address
7447 W Talcott Ave Suite 200
Chicago IL 60631-3745
Phone: (773) 774-5020
Fax: (773) 774-4967
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036071676 | Illinois |
Other Service Providers / Specialist | 174400000X | 036071676 | Illinois |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 036071676 | Illinois |
Profile Details
NPI number | 1407816689 |
---|---|
LBN Legal business name | Sroubek, Otakar |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2006 |
Last updated | Sep 26th, 2019 - about 5 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 | 1407816689 | NPPES |
Illinois | MEDICAID | 036071676 |
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