NPI 1194710913

Leonard P Rybak, MD

Practitioner Otolaryngology Physician Springfield, IL

Practice location

Address: 747 N Rutledge St, Springfield, IL 62702-6700
Phone: (217) 545-8000
Fax: (217) 545-7781
Mailing address: PO Box 19649, Springfield, IL 62794-9649

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 036061928 (IL)

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Registry record

NPI: 1194710913
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Sep 2005
Record last updated: 4 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.