Individual
CHRISTEN TIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3330 W 177TH ST STE 2D-1, HAZEL CREST, IL 60429-2184
(773) 234-9662
Mailing address
3330 W 177TH ST STE 2D-1, HAZEL CREST, IL 60429-2184
(773) 234-9662
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-128407
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036128407
—
IL
Enumeration date
07/31/2008
Last updated
07/07/2020
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