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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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