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:
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Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407816689 NPPES
Illinois MEDICAID 036071676

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