Babka, Brian Michael

Babka, Brian Michael is an individual health care provider with primary practice located at 27650 Ferry Rd , Warrenville IL 60555-3845. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Babka, Brian Michael can be contacted via phone (630) 225-2663.

Contact Information

Primary practice address
27650 Ferry Rd Warrenville IL 60555-3845
Phone: (630) 225-2663
Fax: (630) 225-2399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036105650 Illinois

Profile Details

NPI number 1881688638
LBN Legal business name Babka, Brian Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Dec 9th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881688638 NPPES
Illinois Other 0222075 BLUE CROSS GROUP ID
Illinois Other 3631498336019001 BLUE CROSS GROUP ID
Illinois MEDICAID 036105650 BLUE CROSS GROUP ID

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