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Individual

DR. RICHARD SABBUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701-4364
(309) 665-5925
Mailing address
2538 MOMENTUM PL, CHICAGO, IL 60689-0001
(616) 975-1845

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
036-087141
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05721369
BC/BS
IL
01
P00442511
RAILROAD MEDICARE
IL
Enumeration date
06/27/2006
Last updated
07/14/2009
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