Individual
DR. JOHN OPPENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036058549
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058549002
—
IL
05
—
0571232
—
IA
01
—
143442
IHS
—
05
—
1571232
—
IA
05
—
273137
—
OR
05
—
8497364
—
WA
01
—
98986
BCWELLMARK WEST
—
01
—
98999
BCWELLMARK 7TH ST
—
01
—
IL0182
JOHN DEERE
—
Enumeration date
02/13/2006
Last updated
02/24/2011
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