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Individual

DR. ERIC DYBAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 BIESTERFIELD RD, SUITE 303, ELK GROVE VILLAGE, IL 60007-3361
(847) 593-0404
(847) 593-1509
Mailing address
800 BIESTERFIELD RD, SUITE 303, ELK GROVE VILLAGE, IL 60007-3361
(847) 593-0404
(847) 593-1509

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036088214
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0360882141
IL
Enumeration date
05/04/2006
Last updated
01/24/2013
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