DR. THOMAS LEE CIBULL M.D. NPI 1003000134

Pathology (Anatomic Pathology & Clinical Pathology) in Evanston, IL

About THOMAS CIBULL

Thomas Cibull is a provider in Evanston, IL with more than 15 years of experience. The NPI number assigned to this provider is 1003000134. The practitioner's primary taxonomy code is Pathology (207ZP0102X). The provider is registered as an individual and their NPI record was last updated 10 years ago. Thomas Cibull is registered with Medicare and accepts claims assignment.

NPI	1003000134 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	DR. THOMAS LEE CIBULL M.D.
Provider Location Address	2650 RIDGE AVE EVANSTON HOSPITAL EVANSTON, IL 60201 Provider location address The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address	2650 RIDGE AVE EVANSTON HOSPITAL EVANSTON, IL 60201 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Gender	Male
NPI Entity Type	Individual Entity type code The code describing the type of health care provider that is being assigned an NPI. Codes are: 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School Name	UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year	2003
Is Sole Proprietor?	No
Is Organization Subpart?	N/A What is a subpart? Subparts are the components and separate physical locations of organization health care providers. Examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date	08-31-2007 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	08-06-2008 Last update date The date that a record was last updated or changed.

Business Address

DR. THOMAS LEE CIBULL M.D.
2650 RIDGE AVE
EVANSTON HOSPITAL
EVANSTON, IL
ZIP 60201
Phone: (847) 570-2040
Fax: (847) 733-5315
Get Directions

Mailing Address

DR. THOMAS LEE CIBULL M.D.
2650 RIDGE AVE
EVANSTON HOSPITAL
EVANSTON, IL
ZIP 60201
Phone: (847) 570-2040
Fax: (847) 733-5315

Primary Taxonomy

Taxonomy Code	207ZP0102X Primary Taxonomy Code The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Classification	Pathology
Type	Allopathic & Osteopathic Physicians
Specialization	Anatomic Pathology & Clinical Pathology
License No.	036120492
License State	IL
Taxonomy Description	A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Medicare Participation

Registered in PECOS?	Yes What is PECOS? PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID	4284706367
PECOS Enrollment ID	I20080707000385
Accepts Medicare Assignment?	Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.

Hospital Affiliations

Hospital Name	CMS Certification Number (CCN)
EVANSTON HOSPITAL	140010

Map Location

DR. THOMAS LEE CIBULL M.D. address is 2650 RIDGE AVE EVANSTON HOSPITAL EVANSTON, IL 60201

Other Providers at the same location

The following 20 providers are registered at the same or nearby location.

NPI	Name / Type	Taxonomy	Address
1083602551	EGON MR DOPPENBERG MD Individual	Neurological Surgery	2650 RIDGE AVE EVANSTON, IL 60201 (847) 570-1425
1184698060	KATHARINE YAO MD Individual	Surgery	2650 RIDGE AVE NORTHSHORE UNIVERSITY HEALTH SYSTEM EVANSTON, IL 60201 (847) 570-1327
1316922529	DR. LIZA GAYE ICAYAN M.D. Individual	Internal Medicine	2650 RIDGE AVE EVANSTON, IL 60201 (847) 570-2824
1437150471	ANDREA PARKS PA-C Individual	Physician Assistant (Surgical Technologist)	2650 RIDGE AVE DIVISION OF NEUROSURGERY EVANSTON, IL 60201 (847) 570-1440
1487606109	PHILIP H SHERIDAN JR. MD Individual	Internal Medicine (Pulmonary Disease)	2650 RIDGE AVE EVANSTON, IL 60201 (847) 675-1960
1497714869	DORIS LAI MING YIP M.D. Individual	Radiology (Neuroradiology)	2650 RIDGE AVE DEPARTMENT OF RADIOLOGY, G507 EVANSTON, IL 60201 (847) 570-2475
1548230055	DR. MARLENE MORRISON TURVILL M.D. Individual	Pediatrics	2650 RIDGE AVE CHILD & ADOLESCENT CENTER (G155), EVANSTON HOSPITAL EVANSTON, IL 60201 (847) 570-2123
1619924313	VANDANA SUSMI KULKARNI M.D. Individual	Anesthesiology	2650 RIDGE AVE EVANSTON HOSPITAL RM 1210 EVANSTON, IL 60201 (847) 570-1206
1659367837	JEFFERY D SEMEL MD Individual	Internal Medicine (Infectious Disease)	2650 RIDGE AVE BURCH 118, EVANSTON HOSPITAL EVANSTON, IL 60201 (847) 570-1502
1669476545	STEVEN C SMART MD Individual	Internal Medicine (Cardiovascular Disease)	2650 RIDGE AVE EVANSTON, IL 60201 (847) 570-2000
1699750174	MS. ELIZABETH A. LEETH M.S. Individual	Genetic Counselor, MS	2650 RIDGE AVE FETAL DIAGNOSTICS, RM 1400 EVANSTON, IL 60201 (847) 570-1380
1700833522	MS. ANNE P. SEBASTIAN PA Individual		2650 RIDGE AVE BURCH 106 EVANSTON, IL 60201 (847) 570-1328
1730131509	DR. AMANDA L HORTON MD Individual	Obstetrics & Gynecology (Maternal & Fetal Medicine)	2650 RIDGE AVE EVANSTON, IL 60201 (847) 570-2000
1740280858	DAVID C. BERINGER M.D. Individual	Emergency Medicine	2650 RIDGE AVE NORTHSHORE UNIVERSITY HEALTHSYSTEM EVANSTON, IL 60201 (847) 570-2114
1811944184	TED E FELDMAN M.D. Individual		2650 RIDGE AVE EVANSTON HOSPITAL RM 1210 EVANSTON, IL 60201 (847) 570-1206
1821043944	DAVID WEI OUYANG MD Individual	Obstetrics & Gynecology	2650 RIDGE AVE EVANSTON NORTHWESTERN HEALTHCARE EVANSTON, IL 60201 (847) 570-2000
1881658193	ERVIN DENHAM MD Individual	Surgery	2650 RIDGE AVE EVANSTON, IL 60201 (847) 570-4120
1912985888	ARSHDEEP SINGH JAWANDHA M.B.,B.S. Individual	Psychiatry & Neurology (Psychiatry)	2650 RIDGE AVE C/O LINDA GARFIELD DEP OF PSYCHIATRY 5TH FL LOIUS BLDG EVANSTON, IL 60201 (847) 570-2683
1952386427	MRS. GWEN GASSMAN FRALEY M.S., C.G.C. Individual	Genetic Counselor, MS	2650 RIDGE AVE FETAL DIAGNOSTICS EVANSTON, IL 60201 (847) 570-2864
1972550770	DR. RUPAL M. POTNIS MD Individual	Internal Medicine	2650 RIDGE AVE DIV OF INTERNAL MEDICINE, RM 4324 EVANSTON, IL 60201 (847) 570-1010

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