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Individual

DR. OTAKAR SROUBEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7447 W TALCOTT AVE, SUITE 200, CHICAGO, IL 60631-3745
(773) 774-5020
(773) 774-4967
Mailing address
7447 W TALCOTT AVE, SUITE 200, CHICAGO, IL 60631-3745
(773) 774-5020
(773) 774-4967

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036071676
IL
207RI0011X
Interventional Cardiology Physician
Primary
036071676
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036071676
IL
Enumeration date
03/23/2006
Last updated
07/11/2025
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