Doctor Name: | DR. WILLIAM H KOBAK |
NPI Number: | 1023007887 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 036091917 |
Business Practice Address: | 3310 W Main St Suite 200 St Charles, IL - 601751000 |
Business Phone Number: | 6308976044 |
Business Fax Number: | 6308970180 |
Mailing Address: | Po Box 657, ST CHARLES |
State: | IL |
Postal Code: | 601740657 |
Phone Number: | 6308976044 |
Fax Number: | 6308970180 |
NPI Enumeration Date: | 10/14/2005 |
NPI Last Update Date: | 08/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 036091917 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |