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NPI Code Detail

MEDICARE: ROGELIO LIBOON MD SC

MEDICARE: ROGELIO LIBOON MD SC
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
1207Q00000XFamily Medicine Physician036047971IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548441314
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROGELIO LIBOON MD SC
Provider Business Mailing Address
First Line : 1937 W 35TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60609-1206
Country : US
Telephone Number : 773-523-8014
Fax Number : 630-654-4362
Provider Business Practice Location Address
First Line : 1937 W 35TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60609-1206
Country : US
Telephone Number : 773-523-8014
Fax Number : 630-654-4362
Authorized Official
Title or Position : PRESIDENT
Name : DR. ROGELIO N LIBOON
Credential : MD
Telephone Number : 773-523-8014
Provider Enumeration Date : 11/20/2007
Last Update Date : 07/15/2014

Similar Medicare Providers

1205834934 — DR. ROGELIO N LIBOON M.D.
Practice Location Address:
1937 W 35TH ST
CHICAGO, IL
60609-1206
Practice Phone: 773-523-8014
Practice Fax: 630-654-4362
1942723366 — DR. DANIELA CRISTINA DITTMAR MD
Practice Location Address:
1937 W 35TH ST
CHICAGO, IL
60609-1206
Practice Phone: 773-523-8014
Practice Fax:
1902603467 — CURAVITA LLC
Practice Location Address:
1937 W 35TH ST
CHICAGO, IL
60609-1206
Practice Phone: 773-523-8014
Practice Fax:
1386601797 — KAREN GROULX P.T.
Practice Location Address:
221 N LASALLE ST
CHICAGO, IL
60601-1206
Practice Phone: 312-855-9206
Practice Fax: 312-855-9210
1437187689 — ALAN M JAFFE PSYD
Practice Location Address:
30 N MICHIGAN AVE , SUITE 1206
CHICAGO, IL
60602-3402
Practice Phone: 312-346-2640
Practice Fax:
1679678817 — JOSEPH E SIEGLER M.D.
Practice Location Address:
2750 N RACINE AVE , SUITE #1
CHICAGO, IL
60614-1206
Practice Phone: 773-529-1200
Practice Fax: 773-296-6131

Directions to “ROGELIO LIBOON MD SC ” Practice Location

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