Individual
KEVIN BOBLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, RM 7609, MAYWOOD, IL 60153-3328
(708) 216-8757
Mailing address
2160 S. FIRST AVENUE, MAYWOOD, IL 60153
(708) 216-5368
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036149584
IL
207R00000X
Internal Medicine Physician
125066785
IL
Other
Enumeration date
04/09/2015
Last updated
10/25/2020
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