Provider Demographics
NPI:1013371558
Name:F G OBREGON & ASSOCIATES SC
Entity Type:Organization
Organization Name:F G OBREGON & ASSOCIATES SC
Other - Org Name:OBREGON MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:OBREGON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-966-2637
Mailing Address - Street 1:23 N LINCOLNWAY
Mailing Address - Street 2:
Mailing Address - City:NORTH AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60542-1635
Mailing Address - Country:US
Mailing Address - Phone:630-966-2637
Mailing Address - Fax:630-966-1611
Practice Address - Street 1:23 N LINCOLNWAY
Practice Address - Street 2:
Practice Address - City:NORTH AURORA
Practice Address - State:IL
Practice Address - Zip Code:60542-1635
Practice Address - Country:US
Practice Address - Phone:630-966-2637
Practice Address - Fax:630-966-1611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-11
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036069552207R00000X
261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL36069552Medicaid