Individual
MINA GIRBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 S MILWAUKEE AVE FL 2, LIBERTYVILLE, IL 60048-3218
(847) 680-8066
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-3336
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
03611367
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111367
—
IL
Enumeration date
09/09/2005
Last updated
09/19/2022
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