Individual
PAUL A DUBRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1675 BETHANY RD, SUITE C, SYCAMORE, IL 60178-3124
(815) 899-8080
(815) 899-8002
Mailing address
1675 BETHANY RD, SUITE C, SYCAMORE, IL 60178-3160
(815) 899-8080
(815) 899-8002
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036081007
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01932073
BCBS
IL
05
—
036081007
—
IL
Enumeration date
12/02/2005
Last updated
03/07/2013
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