Individual
VANESSA SANDRA NIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-3055
(312) 926-2000
Mailing address
251 E HURON ST, CHICAGO, IL 60611-3055
(312) 926-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036180738
IL
207L00000X
Anesthesiology Physician
Primary
4301511271
MI
208600000X
Surgery Physician
Primary
4301511271
MI
390200000X
Student in an Organized Health Care Education/Training Program
4351046282
MI
Other
Enumeration date
05/20/2020
Last updated
06/26/2026
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