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Individual
JAIME REBECCA OBSZANSKI
Active
Individual
JAIME REBECCA OBSZANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036149324
IL
207Q00000X
Family Medicine Physician
125.061102
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036149324
STATE LICENSE
IL
Enumeration date
05/30/2012
Last updated
08/19/2022
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