Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 036-111577 | IL |
NPI | 1124238688 |
---|---|
Provider Name | Dr. Amy Eldridge Bobrowski |
First Address | Cleveland, OH 44195-2991 |
Second Address | Cleveland, OH 44195-2730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 23/10/2021 |