Most Relevant Information
Provider Data
| NPI Number: | 1003000134 |
| Provider Name: | THOMAS LEE CIBULL M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207ZP0102X |
| Specialty: | Pathology |
| License Number: | 036120492 |
Most Important Dates
| Enumeration Date: | 08/31/2007 |
| Last Updated: | 08/06/2008 |
Provider Practice Location
2650 RIDGE AVE
EVANSTON HOSPITAL
EVANSTON
IL
602011718
Practice Location Phone/Fax
| Phone: | 8475702040 |
| Fax: | 8477335315 |
Provider Mailing Location
2650 RIDGE AVE
EVANSTON HOSPITAL
EVANSTON
IL
602011718
Provider Mailing Phone/Fax
| Phone: | 8475702040 |
| Fax: | 8477335315 |