Liboon, Rogelio N
Liboon, Rogelio N is an sole proprietor health care provider with primary practice located at 1937 W 35Th St , Chicago IL 60609-1206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Liboon, Rogelio N can be contacted via phone (773) 523-8014.Contact Information
Primary practice address
1937 W 35Th St
Chicago IL 60609-1206
Phone: (773) 523-8014
Fax: (630) 654-4362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-047971 | Illinois |
Profile Details
| NPI number | 1205834934 |
|---|---|
| LBN Legal business name | Liboon, Rogelio N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jul 15th, 2014 - about 12 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 | 1205834934 | NPPES |
| Illinois | MEDICAID | 036047971 | |
| Illinois | Other | K50915 |
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