Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Simon A Holoubek, DO

Individual provider Otolaryngology Physician · NPI 1043697618

Simon A Holoubek, DO is a General Surgery in Rockford, Illinois. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2015, 11 years ago. Practices with Swedishamerican Hospital, a 387-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia, Illinois and Wisconsin.

Years since qualifying
11
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
GA, IL, WI
In the registry since
2015
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1340 Charles St Ste 100&405
Rockford, IL 61104-2200
Phone: (779) 696-8700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 Highland Ave, Madison, WI 53792-1010 — (608) 263-7502

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036-157876 (IL)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 85540 (GA)
Surgery Physician Taxonomy 208600000X · Licence 76254 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043697618
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 2, 2015
Last updated in NPPESMarch 2, 2022
Certification dateMarch 2, 2022
Mailing address7974 Uw Health Ct, Middleton, WI 53562-5531

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2015 (11 years in practice)
Group practice Swedishamerican Hospital — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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