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Contact Information

DAVID S SHOBERG, MD
7144 KLECKNER RD
ROCKFORD, IL61107-6821
 Phone: 815-636-7111
 Fax: 815-639-3526
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for DAVID S SHOBERG · (Male)

NPI Number 1982783361
Status Active
Credentials MD
Entity Individual
Enumeration date 11/04/2006
Last updated 12/11/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036083667
  • IL Medicaid 036083667
  • IL Other 10123666 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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