Provider Demographics
NPI:1346224797
Name:POMBAR, XAVIER F (DO)
Entity type:Individual
Prefix:DR
First Name:XAVIER
Middle Name:F
Last Name:POMBAR
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 RANDALL RD STE 303
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-4221
Mailing Address - Country:US
Mailing Address - Phone:630-938-8300
Mailing Address - Fax:630-938-9935
Practice Address - Street 1:1890 SILVER CROSS BLVD STE 215
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-9626
Practice Address - Country:US
Practice Address - Phone:312-997-2229
Practice Address - Fax:773-797-2884
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036084545207V00000X
IL036-084545207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036084545Medicaid
611360Medicare ID - Type Unspecified
IL036084545Medicaid