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DR. BRENDA A. KUBE M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1386660355

Individual Registrant:
DR. BRENDA A. KUBE M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
911 S CHESTNUT ST  LE ROY, IL 61752-1894 US
Tel: 309-962-2081  Fax: 309-962-9021

Contact information for business:
PO BOX 2451  BLOOMINGTON, IL 61702-2451 US
Tel: 309-268-2172  Fax: 309-268-3649

Registration Information:
NPI: 1386660355
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
IL

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD531576901




HEALTH CARE JOBS IL - Page 1



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