MS. Elizabeth Marie Dibella, PA-C

NPI #1093089120 in New Lenox, Illinois

Provider Information

NPI Number: 1093089120
Entity Type: Individual
Name: MS. Elizabeth Marie Dibella, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 7, 2012
Last Updated: Sep 11, 2014

Practice Location

Address: 1890 SILVER CROSS BLVD
City: New Lenox
State: Illinois
ZIP Code: 60451-9524
Phone: (815) 723-4387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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