Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN M DIBBLEE, PA-C
ActiveSUSAN M DIBBLEE, PA-C is a Physician Assistant healthcare provider located in MOOSEHEART, Illinois. NPI 1740406610 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MOOSEHEART, IL
Registration Details
- NPI Number
- 1740406610
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2007 (19.342181105108 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
37W002 S MOOSEHEART ROADMOOSEHEART, IL, 60539Browse IL providers · Browse ZIP 60539
- Phone
- 6302642684
- Fax
- 6302642848
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.