Sibol, Michael P
Sibol, Michael P is an individual health care provider with primary practice located at 1775 Ballard Rd , Park Ridge IL 60068-1005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Sibol, Michael P can be contacted via phone (847) 318-2500.Contact Information
Primary practice address
1775 Ballard Rd
Park Ridge IL 60068-1005
Phone: (847) 318-2500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 036117299 | Illinois |
Profile Details
NPI number | 1912103714 |
---|---|
LBN Legal business name | Sibol, Michael P |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2007 |
Last updated | Dec 17th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912103714 | NPPES |
Illinois | Other | 01621490 | BCBS PROVIDER ID |
Illinois | MEDICAID | 036117299 | BCBS PROVIDER ID |
Illinois | Other | P00428425 | BCBS PROVIDER ID |
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