| Dr Brenda A Kube, MD | |
|
911 S Chestnut St, Le Roy, IL 61752-1894 | |
| (309) 962-2081 | |
| (309) 962-9021 |
| Full Name | Dr Brenda A Kube |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 911 S Chestnut St, Le Roy, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386660355 | NPI | - | NPPES |
| 5315769 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Bromenn Medical Center | Normal, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carle West Physician Group Inc | 8921420308 | 275 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brenda A Kube, MD Po Box 2451, Bloomington, IL 61702-2451 Ph: (309) 268-2172 | Dr Brenda A Kube, MD 911 S Chestnut St, Le Roy, IL 61752-1894 Ph: (309) 962-2081 |
Dr. Deborah Guthrie Chisholm, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 E Center St, Le Roy, IL 61752 Phone: 309-807-9692 Fax: 309-948-6160 | |
Abigail Karius, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 E Center St, Le Roy, IL 61752 Phone: 309-807-9692 | |
Dr. Srirat Temiyasathit, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 911 S Chestnut St, Le Roy, IL 61752 Phone: 309-962-2081 Fax: 309-962-9021 |