Organization
ROCKFORD PEDIATRIC PULMONOLOGY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S. SHOBERG M.D. (PHYSICIAN)
(815) 636-7111
Entity
Organization
Contact information
Practice address
7144 KLECKNER RD, ROCKFORD, IL 61107-6821
(815) 636-7111
(815) 639-3526
Mailing address
7144 KLECKNER RD, ROCKFORD, IL 61107-6821
(815) 636-7111
(815) 639-3526
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
—
IL
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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