Individual
GEORGE J SALIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4000
(765) 502-4709
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01064809A
IN
207R00000X
Internal Medicine Physician
036108589
IL
208M00000X
Hospitalist Physician
Primary
01064809A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03300006
ILLINOIS HEALTH CONNECT-EFFINGHAM
IL
01
—
036108589
ILLINOIS LICENSE
IL
05
—
036108589
—
IL
01
—
04800010
ILLINOIS HEALTH CONNECT-NEWTON
IL
05
—
200902360
—
IN
01
—
2523247
BC/BS#
IL
01
—
336073507
ILLINOIS CONTROLLED SUBSTANCE LICENSE
IL
01
—
337651
PERSONAL CARE
—
05
—
371391171002
—
IL
05
—
371391171006
—
IL
01
—
617396
HEALTHLINK #
IL
01
—
CG5365
RAILROAD MEDICARE GROUP
IL
01
—
P00480255
RAILROAD MEDICARE PTAN
IL
01
—
P01824550
RR PTAN
IN
Enumeration date
06/27/2006
Last updated
09/10/2024
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