Provider Demographics
NPI:1811385347
Name:DAVID F SZOKE MD,
Entity Type:Organization
Organization Name:DAVID F SZOKE MD,
Other - Org Name:COMMUNITY HEALTHCARE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:SZOKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:618-435-5444
Mailing Address - Street 1:905 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:IL
Mailing Address - Zip Code:62812-1649
Mailing Address - Country:US
Mailing Address - Phone:618-435-5444
Mailing Address - Fax:
Practice Address - Street 1:905 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:IL
Practice Address - Zip Code:62812-1649
Practice Address - Country:US
Practice Address - Phone:618-435-5444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-06
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036085242261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care