Individual
DANIEL SISBARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S FIRST AVE, (LUH - NORTH ENT., RM. 7604), MAYWOOD, IL 60153
(708) 216-8563
(708) 216-0346
Mailing address
2160 S FIRST AVE, (LUH - NORTH ENT., RM. 7604), MAYWOOD, IL 60153
(708) 216-8563
(708) 216-0346
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36094789
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36094789
—
IL
Enumeration date
02/15/2006
Last updated
07/07/2021
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