Simon A Holoubek
Surgeon Otolaryngologist (ENT Doctor)
1340 Charles St Ste 100&405
Rockford
, Illinois 61104-2200
Simon A Holoubek
Surgeon Otolaryngologist (ENT Doctor)
1340 Charles St Ste 100&405
Rockford
, Illinois 61104-2200
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Surgeon
Languages spoken
- English
Location
First Address
- Simon A Holoubek
- 7974 Uw Health Ct
- Middleton, WI
- Zip : 53562-5531
- Phone :
Second Address
- Simon A Holoubek
- 1340 Charles St Ste 100&405
- Rockford, IL
- Zip : 61104-2200
- Phone : (779) 696-8700
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Is Simon A Holoubek accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 85540 | GA |
| Y | 208200000X | Surgeon | 036-157876 | IL |
| Y | 208600000X | Surgeon | 036-157876 | IL |
| N | 208200000X | Surgeon | 76254 | WI |
| N | 208600000X | Surgeon | 76254 | WI |
National Provider Identifier
| NPI | 1043697618 |
|---|---|
| Provider Name | Simon A Holoubek |
| First Address | Middleton, WI 53562-5531 |
| Second Address | Rockford, IL 61104-2200 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2015 |
| Last Update Date | 03/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.