Eric Dybal, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

036088214 Issued in IL

Practice address

800 Biesterfield Rd
Suite 303
Elk Grove Village, IL 60007-3361

Phone

(847) 593-0404

Fax

(847) 593-1509

NPI assigned

May 4, 2006

Last updated

Jan 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alexian Brothers Specialty Group

  • Specialist
  • Elk Grove Village, IL
  • NPI 1720371669
  NPD (past)
• Lindenhurst Anesthesia PLLC

  • Anesthesiology Physician
  • Rosemont, IL
  • NPI 1962416396
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1396793238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "SUITE 303",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "847-593-0404",
            "fax_number": "847-593-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "SUITE 303",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "847-593-0404",
            "fax_number": "847-593-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYBAL",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036088214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360882141",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guy M Dugan, MD
• Kathleen E. Dumford, MD
• Rachel Dunning
• Melissa Duque, B.A., RBT
• Ruth Irene Durkin, LCSW
• Joy Lynn Eashmon
• Hunter Eason, MD
• Kristin Eby, LCPC
• Laura Ehas
• Ela Pharmacy LLC (SendRx)

• Urology Physician in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.