| Dr Lisa M Bibb, MD | |
|
1 Ingalls Dr, Pathology Department, Harvey, IL 60426-3558 | |
| (708) 915-5763 | |
| (708) 915-3786 |
| Full Name | Dr Lisa M Bibb |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 1 Ingalls Dr, Harvey, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245239789 | NPI | - | NPPES |
| 1619826 | Other | BCBSIL GROUP NUMBER | |
| 036070178 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036070178 (Illinois) | Primary |
| Entity Name | Associated Laboratory Physicians Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033109897 PECOS PAC ID: 3173572054 Enrollment ID: O20050118000730 |
| Entity Name | Comprehensive Pathology Services Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902144926 PECOS PAC ID: 6002054954 Enrollment ID: O20130604000727 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa M Bibb, MD 1 Ingalls Dr, Pathology Department, Harvey, IL 60426-3558 Ph: (708) 915-5763 | Dr Lisa M Bibb, MD 1 Ingalls Dr, Pathology Department, Harvey, IL 60426-3558 Ph: (708) 915-5763 |
Dr. Elbio M. Floresstadler, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Ingalls Dr, Pathology Dept., Harvey, IL 60426 Phone: 708-915-5763 Fax: 708-915-3786 | |
Dr. Enric P. Solans, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Ingalls Dr, Pathology Department, Harvey, IL 60426 Phone: 708-915-5763 Fax: 708-915-3686 |