Provider Demographics
NPI:1831271709
Name:OBREGON, FELIX
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:
Last Name:OBREGON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1971 GOWDEY RD STE 205
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-4233
Mailing Address - Country:US
Mailing Address - Phone:630-966-2637
Mailing Address - Fax:630-966-1611
Practice Address - Street 1:1971 GOWDEY RD STE 205
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-4233
Practice Address - Country:US
Practice Address - Phone:630-966-2637
Practice Address - Fax:630-966-1611
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-069552207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4532434OtherBCBS
ILK48034Medicare PIN
IL4532434OtherBCBS
367830Medicare PIN