Tiballi, Robert N
Tiballi, Robert N is an sole proprietor health care provider with primary practice located at 2144 Foothill Rd , Elgin IL 60123-5871. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Tiballi, Robert N can be contacted via phone (847) 741-4376.Contact Information
Primary practice address
2144 Foothill Rd
Elgin IL 60123-5871
Phone: (847) 741-4376
Fax: (847) 741-5331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036091388 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5100 | Tennessee |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 036091388 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 5100 | Tennessee |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 1055-321 | Wisconsin |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 010925 | Arizona |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 5100 | Tennessee |
Profile Details
| NPI number | 1194757427 |
|---|---|
| LBN Legal business name | Tiballi, Robert N |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Dec 19th, 2024 - about 2 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 | 1194757427 | NPPES |
| Illinois | Other | 440001730 | RR MEDICARE |
| Illinois | MEDICAID | 036091388 | RR MEDICARE |
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