Obarski, Kenneth S

Obarski, Kenneth S is an individual health care provider with primary practice located at 425 Huehl Rd Unit 13, Northbrook IL 60062-2322. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Obarski, Kenneth S can be contacted via phone (847) 504-5000.

Contact Information

Primary practice address
425 Huehl Rd Unit 13 Northbrook IL 60062-2322
Phone: (847) 504-5000
Fax: (847) 504-5015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 016-003964 Illinois
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 07000623A Indiana

Profile Details

NPI number 1457327173
LBN Legal business name Obarski, Kenneth S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated May 12th, 2014 - about 12 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 1457327173 NPPES
Illinois MEDICAID 016003964
Illinois Other 6000164646
Illinois Other 110025242
Illinois MEDICAID 200224560A

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