Individual
WITOLD RYBICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 TREMONT, HOPEDALE MEDICAL COMPLEX, HOPEDALE, IL 61747
(309) 449-3321
(309) 449-5441
Mailing address
1002 TWIN LAKE ROAD, BLOOMINGTON, IL 61704
(309) 829-5566
(309) 827-3705
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L82228
PIN
—
Enumeration date
06/05/2007
Last updated
07/08/2007
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