Tiblandi, Michael D
Tiblandi, Michael D is an individual health care provider with primary practice located at 8600 N State Route 91 Suite 250, Peoria IL 61615-9541. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Tiblandi, Michael D can be contacted via phone (309) 692-5393.Contact Information
Primary practice address
8600 N State Route 91 Suite 250
Peoria IL 61615-9541
Phone: (309) 692-5393
Fax: (309) 692-2538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036088492 | Illinois |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036088492 | Illinois |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 036088492 | Illinois |
Profile Details
| NPI number | 1134118235 |
|---|---|
| LBN Legal business name | Tiblandi, Michael D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Dec 7th, 2023 - about last year |
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 | 1134118235 | NPPES |
| Illinois | MEDICAID | 036088492 |
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Ketcham, Jeffrey K
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8600 N State Route 91 Ste 250, Peoria IL 61615-9508