Individual
DR. EDWARD H. KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501A S TOWANDA BARNES RD STE 2, BLOOMINGTON, IL 61705-4031
(309) 612-9002
(309) 391-0134
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4251
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-108279
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361082791
—
IL
Enumeration date
07/19/2005
Last updated
10/02/2025
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