Organization Active NPI

Germbusters, PC

Doing business as Dr. Bob Tiballi

  • Infectious Disease Physician
  • Elgin, IL
National Provider Identifier
1356353270
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036091388 Issued in IL
Legal business name
GERMBUSTERS, PC
Doing business as
Dr. Bob Tiballi
Practice address
2144 Foothill Rd
Elgin, IL 60123-5871
Phone
(847) 741-4376
Fax
(847) 741-5331
NPI assigned
Aug 12, 2006
Last updated
Feb 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert N Tiballi, DONPI 1194757427
Title
Manager
Phone
(847) 741-4376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 036091388 IL Primary

Addresses

Primary practice location

2144 Foothill Rd
Elgin, IL 60123-5871

Mailing address

PO Box 6079
Elgin, IL 60121-6079
Phone (847) 741-4376

Other practice location 1

304 E North Ave Ste 200
Stockton, IL 61085-1262
Phone (847) 741-4376

Other names 1

  • Dr. Bob Tiballi Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040609000249 IL Part B Supplier - Clinic/Group Practice 9638152952 Receives reassigned benefits from 1 practitioner
Practice locations: Elgin, IL; Hoffman Estates, IL; Stockton, IL

National Provider Directory

National Provider Directory

Locations

75 Remittance Dr
Dept 6524
Chicago, IL 60675

1710 N Randall Rd
Ste 160
Elgin, IL 60123
Phone (847) 741-4376

1975 Lin Lor Ln
Ste 30
Elgin, IL 60123
Phone (847) 781-1790

304 E North Ave
#200
Stockton, IL 61085
Phone (847) 741-4376

304 E North Ave
Ste 200
Stockton, IL 61085
Phone (847) 741-4376

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1356353270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6079",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601216079",
            "telephone_number": "847-741-4376",
            "fax_number": "847-741-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 FOOTHILL RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235871",
            "telephone_number": "847-741-4376",
            "fax_number": "847-741-5331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 E North Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "IL",
            "postal_code": "610851262",
            "country_code": "US",
            "telephone_number": "847-741-4376",
            "fax_number": "847-741-5331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GERMBUSTERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "TIBALLI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-741-4376",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036091388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Bob Tiballi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.