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Organization

MARK SOBOR, MD

Active
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Organization

MARK SOBOR, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA TOMASZEWSKA (OFFICE MANAGER)
(773) 308-6103
Entity
Organization

Contact information

Practice address
13560 76TH ST, UNIT 2, SOUTH HAVEN, MI 49090-9483
(269) 206-3260
(269) 216-9687
Mailing address
3749 N KEELER AVE, CHICAGO, IL 60641-3022
(773) 725-1267
(773) 725-1267

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
4301102383
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0800105
BCBSMI
MI
Enumeration date
11/04/2016
Last updated
11/04/2016
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