Provider Demographics
NPI:1447491733
Name:CYBULSKI, TIMOTHY R (RDMS)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:R
Last Name:CYBULSKI
Suffix:
Gender:M
Credentials:RDMS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:150 WELL ST
Mailing Address - Street 2:
Mailing Address - City:PARK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60466-1342
Mailing Address - Country:US
Mailing Address - Phone:708-503-9894
Mailing Address - Fax:708-503-9896
Practice Address - Street 1:150 WELL ST
Practice Address - Street 2:
Practice Address - City:PARK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60466-1342
Practice Address - Country:US
Practice Address - Phone:708-503-9894
Practice Address - Fax:708-503-9896
Is Sole Proprietor?:No
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography