Lisa C Tybor-Jaraczews in Evanston - Pediatrics
Lisa C Tybor-Jaraczews - NPI 1619042157
Lisa C Tybor-Jaraczews is a Pediatrics in Evanston, Illinois. Lisa C Tybor-Jaraczews practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lisa C Tybor-Jaraczews is 1619042157. The last update date is 2020-10-06.
Lisa C Tybor-Jaraczews's current location address is 909 Davis St, Evanston, Illinois. You can contact this provider via phone number 8478663700 and fax number 8478663731. The mailing address for Lisa C Tybor-Jaraczews is 909 Davis St, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa C Tybor-Jaraczews |
|---|---|
| Address | 909 Davis St, Evanston, Illinois |
| Phone Number | 8478663700 |
| Fax Number | 8478663731 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619042157 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2020-10-06 |
Provider Mailing Address Detail
| Address | 909 Davis St |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602013645 |
| Phone Number | 8478663700 |
| Fax Number | 8478663731 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 36090727 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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What is the unique 10-digit identifier code issued to Lisa C Tybor-Jaraczews by the Centers for Medicare & Medicaid Services?
The Lisa C Tybor-Jaraczews has been assigned the NPI (National Provider Identifier) 1619042157 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Lisa C Tybor-Jaraczews?
The Lisa C Tybor-Jaraczews is situated at 909 Davis St, in the city of Evanston, state of IL, with the zip code 602013645.
What is Lisa C Tybor-Jaraczews's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lisa C Tybor-Jaraczews is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619042157 to Lisa C Tybor-Jaraczews?
The Centers for Medicare & Medicaid Services originally issued the 1619042157 to Lisa C Tybor-Jaraczews on 2006-11-21.
When was the information pertaining to Lisa C Tybor-Jaraczews most recently updated or revised?
The details related to Lisa C Tybor-Jaraczews, including its address, specialty, and other relevant information, were last updated or revised on 2020-10-06.