Reyes De Lobos, Maribel

Reyes De Lobos, Maribel is an individual health care provider with primary practice located at University Of Illinois At Chicago College Of Dentistry 801 S Paulina Mc 850, Chicago IL 60612. She recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / General Practice. Dental Providers / Pediatric Dentistry is her primary health care specialty. Reyes De Lobos, Maribel can be contacted via phone (312) 996-7531.

Contact Information

Primary practice address
University Of Illinois At Chicago College Of Dentistry 801 S Paulina Mc 850 Chicago IL 60612
Fax: (970) 867-7607
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 019-025899 Illinois
Dental Providers / Pediatric Dentistry 1223P0221X 021002496 Illinois
Dental Providers / General Practice 1223G0001X 8742 Colorado

Profile Details

NPI number 1548232291
LBN Legal business name Reyes De Lobos, Maribel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated May 15th, 2020 - about 4 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 1548232291 NPPES
Colorado MEDICAID 64178242

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