Provider Demographics
NPI:1477531192
Name:SZOKE, DAVID FRANK (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:FRANK
Last Name:SZOKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 WEST WASHINGTON
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:IL
Mailing Address - Zip Code:62812
Mailing Address - Country:US
Mailing Address - Phone:618-435-5444
Mailing Address - Fax:618-435-5447
Practice Address - Street 1:905 WEST WASHINGTON
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:IL
Practice Address - Zip Code:62812
Practice Address - Country:US
Practice Address - Phone:618-435-5444
Practice Address - Fax:618-435-5447
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-03
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036085242207P00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK28304Medicare PIN