Individual
SIMON A HOLOUBEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1340 CHARLES ST STE 100&405, ROCKFORD, IL 61104-2200
(779) 696-8700
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
85540
GA
208600000X
Surgery Physician
Primary
036-157876
IL
208600000X
Surgery Physician
76254
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2015
Last updated
03/02/2022
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