| Doctor Name: | ALFRED J KOBAK |
| NPI Number: | 1083763635 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 01020706A |
| Business Practice Address: | 1101 Glendale Blvd Suite 108 Valparaiso, IN - 463833767 |
| Business Phone Number: | 2195317500 |
| Business Fax Number: | 2194648823 |
| Mailing Address: | 1101 Glendale Blvd, Suite 108 VALPARAISO |
| State: | IN |
| Postal Code: | 463833767 |
| Phone Number: | 2195317500 |
| Fax Number: | 2194648823 |
| NPI Enumeration Date: | 01/10/2007 |
| NPI Last Update Date: | 01/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 01020706A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |