Individual
DR. CRAIG ANDREW TIBURZI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
130 CARLINVILLE PLZ, CARLINVILLE, IL 62626-1191
(217) 854-8001
(217) 854-3440
Mailing address
110 E 1ST NORTH ST, CARLINVILLE, IL 62626-1505
(217) 854-8001
(217) 854-3440
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010013
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5932018
BLUE CROSS BLUE SHIELD ID
IL
01
—
632998
HEALTHLINK PPO ID
IL
01
—
P00184408
RAILROAD MEDICARE ID
IL
Enumeration date
07/27/2005
Last updated
12/12/2017
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