# ERIK K. KOOBA, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861433070
- **Authorized official:** ERIK K KOOBA M.D. (OWNER)
- **Authorized official phone:** (309) 671-8749

## Contact information

- **Practice address:** 600 S 13TH ST, PEKIN, IL 61554-4936
- **Practice address phone:** (309) 347-1151
- **Mailing address:** 108 SW MADISON AVE, PEORIA, IL 61602-1107
- **Mailing address phone:** (309) 671-8749
- **Mailing address fax:** (309) 671-8740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | IL | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 08/22/2020