Provider Demographics
NPI:1295920858
Name:BOCO, TIBOR (MD)
Entity type:Individual
Prefix:DR
First Name:TIBOR
Middle Name:
Last Name:BOCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 W CENTRAL RD STE 4100
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-2383
Mailing Address - Country:US
Mailing Address - Phone:708-343-3566
Mailing Address - Fax:708-343-3585
Practice Address - Street 1:880 W CENTRAL RD STE 4100
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-2383
Practice Address - Country:US
Practice Address - Phone:708-343-3566
Practice Address - Fax:708-343-3585
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036120553207T00000X, 207T00000X
NMMD2010-0035207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery