Individual
DOBROSLAWA RESCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 S 14TH ST, HERRIN, IL 62948-3631
(618) 942-2171
(618) 351-4917
Mailing address
395 SADDLEBROOK LN, HANSON, KY 42413-9639
(270) 322-0984
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01071900A
IN
207P00000X
Emergency Medicine Physician
036106449
IL
207P00000X
Emergency Medicine Physician
Primary
41335
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000545382
BCBS
KY
01
—
3932056
BLUE SHIELD
IL
05
—
7100017720
—
KY
Enumeration date
07/24/2006
Last updated
06/17/2022
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