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Individual

EVAN S. OBLONSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1051 W RAND RD, ARLINGTON HEIGHTS, IL 60004-2315
(847) 590-8888
(847) 670-6801
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
(630) 874-2642

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
036095538
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036095538
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036095538
STATE LICENSE
IL
Enumeration date
08/02/2005
Last updated
04/04/2023
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