MRS. BERNADETTE KATHLENE SOBCZAK C.P.N.P. PRIMARY CAR NPI 1649414558

NPI Information

NPI: 1649414558
Provider Name: MRS. BERNADETTE KATHLENE SOBCZAK, C.P.N.P. PRIMARY CAR
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
807 BROADWAY
GILLESPIE, IL
ZIP 62033
Phone: (217) 839-3900
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MRS. Bernadette Kathlene Sobczak, C.P.N.P. PRIMARY CAR is a pediatrics nurse practitioner in Gillespie, IL. MRS. Bernadette Kathlene Sobczak, C.P.N.P. PRIMARY CAR NPI is 1649414558. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

807 BROADWAY
GILLESPIE, IL
ZIP 62033
Phone: (217) 839-3900

The enumeration date for this NPI number is 4/22/2009 and was last updated on 4/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	209-007531	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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