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NPI Code Detail

MEDICARE: DR. ALBERT E KOMBE MD

MEDICARE:  DR. ALBERT E KOMBE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine Physician036166187IL

General Provider Information

NPI Number : 1952937922
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALBERT E KOMBE MD
Provider Business Mailing Address
First Line : 1116 HARTMAN LN
Second Line :
City : SHILOH
State : IL
Zip : 62221-8014
Country : US
Telephone Number : 618-641-5803
Fax Number : 618-607-5116
Provider Business Practice Location Address
First Line : 1116 HARTMAN LN
Second Line :
City : SHILOH
State : IL
Zip : 62221-8014
Country : US
Telephone Number : 618-641-5803
Fax Number : 618-607-5116
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2020
Last Update Date : 08/17/2023

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Directions to “ DR. ALBERT E KOMBE MD” Practice Location

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