Individual
LEONARD P RYBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
747 N RUTLEDGE ST, SPRINGFIELD, IL 62702-6700
(217) 545-8000
(217) 545-7781
Mailing address
PO BOX 19649, SPRINGFIELD, IL 62794-9649
(217) 545-8000
(217) 545-7781
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036061928
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061928
—
IL
Enumeration date
09/19/2005
Last updated
01/04/2016
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