Individual
DAVID S SHOBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
036083667
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036083667
—
IL
01
—
10123666
BCBS
IL
Enumeration date
11/04/2006
Last updated
12/11/2024
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