NPI Code Details Logo

NPI 1326205808

NPI 1326205808 : ANTHONY PAUL LEBARIO M.D. : ELGIN, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1326205808
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ANTHONY PAUL LEBARIO M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/21/2008
-----------------------------------------------------
    Last Update Date     |    01/05/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    431 SUMMIT ST 
-----------------------------------------------------
    City                 |    ELGIN
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60120-3861
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    847-289-8822
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    431 SUMMIT ST 
-----------------------------------------------------
    City                 |    ELGIN
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60120-3805
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    847-289-8822
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2081P2900X
-----------------------------------------------------
    Taxonomy Name        |    Pain Medicine (Physical Medicine & Rehabilitation) Physician
-----------------------------------------------------
    License Number       |    036132945
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    208100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
-----------------------------------------------------
    License Number       |    MD476082
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.