Dr. Kenneth S Obarski
Primary Podiatric Medicine
425 Huehl Rd Unit 13
Northbrook
, Illinois 60062-2322
Dr. Kenneth S Obarski
Primary Podiatric Medicine
425 Huehl Rd Unit 13
Northbrook
, Illinois 60062-2322
(219) 627-4040
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Kenneth S Obarski
- 10580 Olcott Ave
- St John, IN
- Zip : 46373-8942
- Fax : (219) 627-4040
- Phone : (219) 558-8540
Second Address
- Dr. Kenneth S Obarski
- 425 Huehl Rd Unit 13
- Northbrook, IL
- Zip : 60062-2322
- Fax : (847) 504-5015
- Phone : (847) 504-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 016-003964 | IL |
| N | 213EP1101X | Primary Podiatric Medicine | 07000623A | IN |
National Provider Identifier
| NPI | 1457327173 |
|---|---|
| Provider Name | Dr. Kenneth S Obarski |
| First Address | St John, IN 46373-8942 |
| Second Address | Northbrook, IL 60062-2322 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/02/2006 |
| Last Update Date | 12/05/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 016003964 | (05) | IL |
| 110025242 | RAILROAD MEDICARE (01) | IL |
| 200224560A | (05) | IN |
| 6000164646 | BLUE CROSS/BLUE SHIELD (01) | IL |
| T38654 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.