Rybak, Leonard P

Rybak, Leonard P is an individual health care provider with primary practice located at 747 N Rutledge St , Springfield IL 62702-6700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Rybak, Leonard P can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
747 N Rutledge St Springfield IL 62702-6700
Fax: (217) 545-7781
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 036061928 Illinois

Profile Details

NPI number 1194710913
LBN Legal business name Rybak, Leonard P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jan 4th, 2016 - about 9 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 1194710913 NPPES
Illinois MEDICAID 036061928

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