David Bogolub, DO

NPI 1245279181 · on the registry since 2006

Practice

Address: 2100 Madison Ave
Granite City, IL 62040
Phone: (618) 798-3000
Fax: (618) 798-3885
Organisation at this address: Ahp Of Illinois, Inc
Granite City Clinic Corp
Ahs Il Medical Group Llc
Great River Radiology, Inc
Dcl Medical Laboratories Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 54

Registry record

Primary taxonomy: 207P00000X
207P00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois