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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205834934 NPPES
Illinois MEDICAID 036047971
Illinois Other K50915

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