Individual
MS. ELIZABETH MARIE DIBELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1890 SILVER CROSS BLVD, NEW LENOX, IL 60451-9524
(815) 723-4387
(815) 723-4634
Mailing address
1890 SILVER CROSS BLVD, NEW LENOX, IL 60451-9524
(815) 723-4387
(815) 723-4634
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004984
IL
363A00000X
Physician Assistant
PA00629
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400160420
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
03/07/2012
Last updated
09/11/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us