| Anton Dubrick Md Sc | |
|
420 W Schwartz St Salem IL 62881-1552 | |
| (618) 740-4667 | |
| (618) 740-1482 |
| Full Name | Anton Dubrick Md Sc |
|---|---|
| Speciality | General Practice |
| Location | 420 W Schwartz St, Salem, Illinois |
| Authorized Official Name and Position | Anton Dubrick (PRESIDENT) |
| Authorized Official Contact | 6187404667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anton Dubrick Md Sc 420 W Schwartz St Salem IL 62881-1552 Ph: (618) 740-4667 | Anton Dubrick Md Sc 420 W Schwartz St Salem IL 62881-1552 Ph: (618) 740-4667 |
| NPI Number | 1316456965 |
|---|---|
| Provider Enumeration Date | 09/27/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2062769540 |
|---|---|
| Medicare Enrollment ID | O20180716002991 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316456965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 036061031 (Illinois) | Primary |
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