Provider Demographics
NPI:1245278910
Name:LLOBET, XIMENA R (MD)
Entity type:Individual
Prefix:
First Name:XIMENA
Middle Name:R
Last Name:LLOBET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:XIMENA
Other - Middle Name:
Other - Last Name:LLOBET
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1901 BUTTERFIELD RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-7915
Mailing Address - Country:US
Mailing Address - Phone:630-725-2768
Mailing Address - Fax:630-725-2783
Practice Address - Street 1:2150 E LAKE COOK RD
Practice Address - Street 2:SUITE 40 - C
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-1862
Practice Address - Country:US
Practice Address - Phone:847-465-6025
Practice Address - Fax:847-465-6050
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-110889207P00000X
IL036110889208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP00157423OtherMEDICARE RAILROAD
ILP00226729OtherMEDICARE RAILROAD
IL036110889Medicaid
IL789510001Medicare PIN
ILP00157423OtherMEDICARE RAILROAD
IL789511Medicare PIN
IL789510Medicare PIN
IL036110889Medicaid
IL789511001Medicare PIN
ILP00767334Medicare PIN