Individual
DR. LEO TAIBERG
Active
Individual
DR. LEO TAIBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036.105481
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634713
BCBS PROVIDER ID
IL
05
—
036105481
—
IL
01
—
P00165716
RAIL ROAD MEDICARE
IL
Enumeration date
09/15/2005
Last updated
07/12/2025
Update your record
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