Individual
DR. ANJAN TIBREWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
259 E ERIE ST, CHICAGO, IL 60611-2987
(312) 926-2000
Mailing address
676 N SAINT CLAIR ST, SUITE 600, CHICAGO, IL 60611-2927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036134900
IL
207R00000X
Internal Medicine Physician
2011017889
MO
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
036134900
IL
207RC0000X
Cardiovascular Disease Physician
036134900
IL
208M00000X
Hospitalist Physician
036134900
IL
Other
Enumeration date
06/17/2011
Last updated
07/25/2019
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