Ernesto Ibalio Lardizabal, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

036-058421 Issued in IL

Practice address

11528 183Rd PL
Orland Park, IL 60467-9467

Phone

(708) 326-1700

Fax

(708) 326-1707

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Illinois Back and Joint PLLC

  • Sports Medicine (Family Medicine) Physician
  • Orland Park, IL
  • NPI 1750985214
  NPD

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629023650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S NAPERVILLE RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875423",
            "telephone_number": "630-221-0200",
            "fax_number": "630-384-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11528 183RD PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679467",
            "telephone_number": "708-326-1700",
            "fax_number": "708-326-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARDIZABAL",
        "first_name": "ERNESTO",
        "middle_name": "IBALIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036-058421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Collette Lang, OD
• Lori Ann Langeland, FNP-BC
• Andrea Laporte
• Lardi Complete Chiropractic, LLC
• Joel Lardi, D.C.
• Tsuki Larkins
• Josephine A. Larocca, D.M.D.
• Laser Spine Center of Chicago LLC
• Laser Spine Surgical Solutions
• Adrienne C Latronica

• Physical Medicine & Rehabilitation Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.