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Individual
DR. JOE O'SABEN
Active
Individual
DR. JOE O'SABEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
036.118972
IL
208D00000X
General Practice Physician
036.118972
IL
208VP0000X
Pain Medicine Physician
Primary
036.118972
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210693
MEDICARE GROUP #
IL
Enumeration date
06/28/2006
Last updated
12/29/2010
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