Individual
DR. KISHORE BOBBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3800 W MADISON ST, CHICAGO, IL 60624-2334
(773) 826-6600
(773) 826-1407
Mailing address
1060 W HOLLYWOOD AVE, APT 406, CHICAGO, IL 60660-4506
(773) 290-7870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36117320
IL
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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