Provider Demographics
NPI:1669692265
Name:TOBIA BARBATO M.D. AND THEODORE ZBIEGIEN M.D. S.C.
Entity type:Organization
Organization Name:TOBIA BARBATO M.D. AND THEODORE ZBIEGIEN M.D. S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TOBIA
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BARBATO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-467-8950
Mailing Address - Street 1:7447 W TALCOTT AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-3745
Mailing Address - Country:US
Mailing Address - Phone:773-467-8950
Mailing Address - Fax:773-467-8949
Practice Address - Street 1:7447 W TALCOTT AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3745
Practice Address - Country:US
Practice Address - Phone:773-467-8950
Practice Address - Fax:773-467-8949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL03648561207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF03409Medicare UPIN
ILF03410Medicare UPIN
IL599290Medicare ID - Type Unspecified