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Contact Information

RENEE BICABA
5841 S MARYLAND AVE # MC6040
CHICAGO, IL60637-1443
 Phone: 773-702-6337
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RENEE BICABA · (Female)

NPI Number 1306699053
Status Active
Credentials
Entity Individual
Enumeration date 04/10/2024
Last updated 05/27/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 125083881
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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