Individual
JAMES BOBLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S FIRST AVE, (300 N. YORK RD, ELMHURST, IL. 60126), MAYWOOD, IL 60153
(708) 327-7030
(630) 833-8834
Mailing address
2160 S FIRST AVE, (300 N. YORK RD, ELMHURST, IL. 60126), MAYWOOD, IL 60153
(708) 327-7030
(630) 833-8834
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36067152
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36067152
—
IL
Enumeration date
02/15/2006
Last updated
05/16/2022
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