| Dr Bruce A Sobko, MD | |
|
1201 Pine St, Eldorado, IL 62930-1634 | |
| (618) 273-3361 | |
| (618) 273-2571 |
| Full Name | Dr Bruce A Sobko |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1201 Pine St, Eldorado, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740268648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 03679529 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 03679529 (Illinois) | Primary |
| Entity Name | Illinois Department Of Human Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003960394 PECOS PAC ID: 9830003920 Enrollment ID: O20031113000414 |
| Entity Name | Pana Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942326970 PECOS PAC ID: 3274437348 Enrollment ID: O20031121000350 |
| Entity Name | Illinois Emergency Staffing Solutions, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699915348 PECOS PAC ID: 7810044377 Enrollment ID: O20090421000050 |
| Entity Name | Hcc Region Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528237559 PECOS PAC ID: 1759453178 Enrollment ID: O20090529000084 |
| Entity Name | Integritas Emergency Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
| Entity Name | App Of Illinois Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053860080 PECOS PAC ID: 7517245384 Enrollment ID: O20161028001650 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce A Sobko, MD Po Box 3276, Evansville, IN 47731-3276 Ph: (812) 473-0181 | Dr Bruce A Sobko, MD 1201 Pine St, Eldorado, IL 62930-1634 Ph: (618) 273-3361 |
Sidharth Chandra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-273-2951 Fax: 618-273-2726 | |
Ahmed Ali Tariq, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1201 Pine St, Eldorado, IL 62930 Phone: 618-273-3361 |