Individual
DENITA FOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
IL
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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