Individual
ANTON JOHN DUBRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 W SCHWARTZ ST, SALEM, IL 62881-1552
(618) 740-4667
(618) 740-1482
Mailing address
420 W SCHWARTZ ST, SALEM, IL 62881-1552
(618) 740-4667
(618) 740-1482
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
036-061031
IL
207R00000X
Internal Medicine Physician
036061031
IL
208D00000X
General Practice Physician
Primary
036061031
IL
209800000X
Legal Medicine (M.D./D.O.) Physician
036-061031
IL
Other
Enumeration date
07/25/2006
Last updated
10/25/2017
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