David Bogolub, DO | |
2100 Madison Ave, Granite City, IL 62040-4701 | |
(618) 798-3000 | |
(618) 798-3885 |
Full Name | David Bogolub |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 29 Years |
Location | 2100 Madison Ave, Granite City, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245279181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gov Juan F Luis Hospital & Medical Ctr | St croix, VI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Governor Juan F Luis Hospital And Medical Center | 1153233804 | 35 |
Entity Name | Governor Juan F Luis Hospital & Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972503647 PECOS PAC ID: 1153233804 Enrollment ID: O20070515000578 |
Mailing Address | Practice Location Address |
---|---|
David Bogolub, DO 3836 N Tripp Ave, Xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx, Chicago, IL 60641-3011 Ph: (630) 941-4330 | David Bogolub, DO 2100 Madison Ave, Granite City, IL 62040-4701 Ph: (618) 798-3000 |
Dr. Kelly M Farroll, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2166 Madison Ave, Granite City, IL 62040 Phone: 618-452-3301 Fax: 618-452-3312 | |
Jeffrey D Arendell, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-6300 Fax: 618-798-3716 | |
Debabrata Ray, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3000 Fax: 618-798-3885 |