| John Tibble, DO | |
|
1400 Otto Blvd, Chicago Heights, IL 60411-3871 | |
| (708) 754-7777 | |
| (708) 754-7701 |
| Full Name | John Tibble |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 1400 Otto Blvd, Chicago Heights, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376960542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036144157 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St James Home Health Service | Olympia fields, IL | Home health agency |
| Franciscan Health Olympia Fields & Chicago Heights | Olympia fields, IL | Hospital |
| Franciscan Health Dyer | Dyer, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Specialty Physicians Of Illinois Llc | 4183529456 | 111 |
| Entity Name | Specialty Physicians Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124075676 PECOS PAC ID: 4183529456 Enrollment ID: O20031201000602 |
| Mailing Address | Practice Location Address |
|---|---|
| John Tibble, DO 35318 Eagle Way, Chicago, IL 60678-1353 Ph: (317) 528-4800 | John Tibble, DO 1400 Otto Blvd, Chicago Heights, IL 60411-3871 Ph: (708) 754-7777 |
Jennifer Byrd, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1536 Vincennes Ave, Chicago Heights, IL 60411 Phone: 708-756-1135 | |
Elmer L Washington, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 233 W Joe Orr Rd, Chicago Heights, IL 60411 Phone: 708-754-1044 Fax: 708-747-3497 | |
Dr. Brittani James, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1536 Vincennes Ave, Chicago Heights, IL 60411 Phone: 877-692-8686 | |
Dr. Sandra Renee Mcgowan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 Vollmer Rd Ste 2a, Chicago Heights, IL 60411 Phone: 708-480-9730 Fax: 877-522-7815 | |
Dr. Julia Harris, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Otto Blvd, Chicago Heights, IL 60411 Phone: 708-754-7777 Fax: 708-754-7701 | |
Dr. Dominique Reeves, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 222 Vollmer Rd Ste 2a, Chicago Heights, IL 60411 Phone: 708-480-9730 Fax: 877-522-7815 |