Organization
ERIK K. KOOBA, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK K KOOBA M.D. (OWNER)
(309) 671-8749
Entity
Organization
Contact information
Practice address
600 S 13TH ST, PEKIN, IL 61554-4936
(309) 347-1151
Mailing address
108 SW MADISON AVE, PEORIA, IL 61602-1107
(309) 671-8749
(309) 671-8740
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
Other
Enumeration date
06/09/2006
Last updated
08/22/2020
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