Individual
SAMI SIBAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 W. PARK ST., URBANA, IL 61801-2500
(217) 383-3270
(217) 383-4116
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036129117
IL
2085R0202X
Diagnostic Radiology Physician
Primary
327126
NY
2085R0202X
Diagnostic Radiology Physician
MD-39684
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IP1031
LICENSE
KY
Enumeration date
10/09/2007
Last updated
12/11/2025
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