Organization
PROFESSSIONAL HEALTH ASSOCIATES LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ROBERT SINIBALDI M.D. (PRESIDENT)
(708) 923-7880
Entity
Organization
Contact information
Practice address
12255 S. 80TH AVENUE, SUITE 202, PALOS HEIGHTS, IL 60463
(708) 923-7880
(708) 923-7888
Mailing address
12255 S. 80TH AVENUE, SUITE 202, PALOS HEIGHTS, IL 60463
(708) 923-7880
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0991516762
BLUE CROSS BLUE SHEILD
IL
Enumeration date
09/07/2006
Last updated
08/22/2020
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