Organization
KOBAK CENTER FOR GYNECOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM H KOBAK MD (PRESIDENT)
(219) 531-7500
Entity
Organization
Contact information
Practice address
401 WALL ST, SUITE J, VALPARAISO, IN 46383-2521
(219) 531-7500
Mailing address
401 WALL ST, SUITE J, VALPARAISO, IN 46383-2521
(219) 531-7500
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
01046101A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000719406
ANTHEM
IN
05
—
201023270A
—
IN
Enumeration date
05/25/2011
Last updated
10/15/2013
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