Tibbs, Christen
Tibbs, Christen is an individual health care provider with primary practice located at 3330 W 177Th St Ste 2D-1 , Hazel Crest IL 60429-2184. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tibbs, Christen can be contacted via phone (773) 234-9662.Contact Information
Primary practice address
3330 W 177Th St Ste 2D-1
Hazel Crest IL 60429-2184
Phone: (773) 234-9662
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-128407 | Illinois |
Profile Details
| NPI number | 1518123363 |
|---|---|
| LBN Legal business name | Tibbs, Christen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2008 |
| Last updated | Jul 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518123363 | NPPES |
| Illinois | MEDICAID | 036128407 |
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