Provider Demographics
NPI:1134224645
Name:OBLE, DARRYL ALAN (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:DARRYL
Middle Name:ALAN
Last Name:OBLE
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:2160 S 1ST AVE
Mailing Address - Street 2:LOYOLA UNIVERSITY MEDICAL CENTER, DEPT. OF PATHOLOGY
Mailing Address - City:MAYWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60153-3328
Mailing Address - Country:US
Mailing Address - Phone:708-216-2053
Mailing Address - Fax:708-216-8225
Practice Address - Street 1:2160 S 1ST AVE
Practice Address - Street 2:LOYOLA UNIVERSITY MEDICAL CENTER, DEPT. OF PATHOLOGY
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-3328
Practice Address - Country:US
Practice Address - Phone:708-216-2053
Practice Address - Fax:708-216-8225
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2009-07-22
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Provider Licenses
StateLicense IDTaxonomies
IL036-123584207ZD0900X, 207ZH0000X, 207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology