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Individual
JENNIFER R BOBELL
Active
Individual
JENNIFER R BOBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-110131
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110131
—
IL
01
—
088669
HEALTH ALLIANCE
IL
01
—
10032052
BC BS
IL
01
—
626467
HEALTHLINK
IL
01
—
CF3444
MEDICARE RAILROAD
IL
Enumeration date
03/15/2006
Last updated
05/13/2014
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