Bianca Oddo

Physician Assistant · Oak Lawn, IL

Individual Active NPI

NPI number 1619675592

Practice location

4400 W 95TH St Ste 407
Oak Lawn, IL 60453-2654
Phone
(708) 684-4029
Fax
(708) 684-4033

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NPI record

NPI
1619675592
Entity type
Individual (Type 1)
Enumeration date
February 20, 2023
Last updated
November 8, 2023
Certified
November 8, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 085-009811 IL

Mailing address

29373 Network Pl
Chicago, IL 60673-1293
Phone
(847) 390-5900

Other practice locations (1)

  • 507 North 17th Street, Milwaukee, WI 53233 · (414) 288-5688

About Bianca Oddo

Bianca Oddo is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 4400 W 95TH St Ste 407, Oak Lawn, IL 60453-2654. The NPI number 1619675592 was assigned on February 20, 2023 and the record was last updated on November 8, 2023.

Bianca Oddo lists a license in the registry: #085-009811 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bianca Oddo?

The NPI number is 1619675592.

What is the phone number of Bianca Oddo?

The phone number listed for the practice location is (708) 684-4029.

Where is Bianca Oddo located?

4400 W 95TH St Ste 407, Oak Lawn, IL 60453-2654.

What is the taxonomy code for Bianca Oddo?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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