Francisco Obedoza, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036067072 Issued in IL

Practice address

BMC 1007, Naval Hospital Great Lakes
Great Lakes, IL 60088

Phone

(847) 688-6755

NPI assigned

Apr 7, 2006

Last updated

Mar 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1881657385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HAWKINS CIR",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601878463",
            "telephone_number": "630-653-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BMC 1007, NAVAL HOSPITAL GREAT LAKES",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "60088",
            "telephone_number": "847-688-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEDOZA",
        "first_name": "FRANCISCO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036067072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Trinh Nguyen, DDS
• Jose Alfredo Nicola, IDC
• Heather Nimmagadda, MS, CPNP
• James Ted Norris Jr., M.D.
• John Francis Novak, D.C.
• Judith Ann Ogara, LD
• John Clifford Olsen, M.D.
• Thet Oo, DDS
• Jennifer Brattland Ota, MD
• James Roland Oxford, D.D.S., M.S.D.

• Family Medicine Physician in Great Lakes, IL
• Providers in Great Lakes, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.