MEDICARE: DR. TIBOR BOCO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	036120553	IL

General Provider Information

NPI Number	:	1295920858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIBOR BOCO M.D.

Provider Business Mailing Address
First Line	:	880 W CENTRAL RD STE 4100
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-2383
Country	:	US
Telephone Number	:	708-343-3566
Fax Number	:	708-343-3585

Provider Business Practice Location Address
First Line	:	880 W CENTRAL RD STE 4100
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-2383
Country	:	US
Telephone Number	:	708-343-3566
Fax Number	:	708-343-3585

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2007
Last Update Date	:	12/30/2021

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