Individual
DAVID MICHAEL PODREBARAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4140 SOUTHWEST HWY, HOMETOWN, IL 60456-1135
(708) 422-5700
Mailing address
16509 CHERRY HILL AVE, TINLEY PARK, IL 60487-1140
(708) 699-2347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125061608
IL
Other
Enumeration date
07/15/2012
Last updated
07/15/2012
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