Dib, Marwan
Dib, Marwan is an individual health care provider with primary practice located at 1302 Franklin Ave Ste 4500 , Normal IL 61761-3593. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Dib, Marwan can be contacted via phone (309) 556-8300.Contact Information
Primary practice address
1302 Franklin Ave Ste 4500
Normal IL 61761-3593
Phone: (309) 556-8300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 64438 | Wisconsin |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125055543 | Illinois |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036151153 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 036151153 | Illinois |
Profile Details
| NPI number | 1225346414 |
|---|---|
| LBN Legal business name | Dib, Marwan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2010 |
| Last updated | Feb 28th, 2024 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225346414 | NPPES |
| Wisconsin | MEDICAID | 100045134 | |
| Wisconsin | Other | 64438 |
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