Lisa M. Bibb, M.D.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Harvey, IL
NPI 1245239789 · NPPES record last updated Nov 25, 2009
Key facts
- NPI
- 1245239789
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 036070178 (IL)
- Practice address
- 1 Ingalls Dr
Pathology Department
Harvey, IL 60426-3558 - Phone
- (708) 915-5763
- Fax
- (708) 915-3786
- NPI assigned
- Jul 18, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Cross Hospital & Medical Centers | Current | Accepting new patients | |
| Diagnostic Pathology Consultants, SC | Past | Accepting new patients |
Locations
1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036070178 | IL | Yes |
Addresses
Primary practice location
1 Ingalls Dr
Pathology Department
Harvey, IL 60426-3558
Mailing address
1 Ingalls Dr
Pathology Department
Harvey, IL 60426-3558
Phone (708) 915-5763
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619826 | Other | BCBSIL GROUP NUMBER | |
| 036070178 | Medicaid | IL |
Other providers in Harvey, IL
- Charles A Beck Jr.
- Better Future for Families
- Better Future for Families Foundation
- Better Sister and Brother Growth Network
- Jay Bhatt
- Paul S Bierman
- Wyvon Blackwell
- Lilyan Bland
- Evelyn Bollinger
- Anthony Bothell
All providers in Harvey, IL · Anatomic Pathology & Clinical Pathology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.