Organization
ANTHONY PROSKE MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY PROSKE MD (OFFICER)
(708) 774-2970
Entity
Organization
Contact information
Practice address
300 BARNEY DR, SUITE C, JOLIET, IL 60435-5296
(815) 744-7762
(815) 744-7861
Mailing address
PO BOX 379, ORLAND PARK, IL 60462-0379
(708) 774-2970
(708) 460-1117
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9900406
BCBS IL GR#
IL
Enumeration date
11/03/2005
Last updated
07/23/2010
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