DR. RICHARD SABBUN M.D. NPI 1023045606

NPI Information

NPI: 1023045606
Provider Name: DR. RICHARD SABBUN, M.D.
Classification: Emergency Medicine - 207PE0004X
Entity Type: Individual

Specialization: Emergency Medical Services

Organization: OSF MULTI-SPECIALTY GROUP

PECOS Registration: Yes

Address:
2200 E WASHINGTON ST
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 665-5925
Get Directions

DR. Richard Sabbun, M.D. is an emergency medical services emergency medicine in Bloomington, IL with 38 years of experience. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. DR. Richard Sabbun, M.D. NPI is 1023045606. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2200 E WASHINGTON ST
BLOOMINGTON, IL
ZIP 61701-364
Phone: (309) 665-5925

The NPI 1023045606 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 7/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PE0004X	Emergency Medicine	Emergency Medical Services	036-087141	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K46459	MEDICARE PIN	ILLINOIS
2	P00442511	OTHER	ILLINOIS	RAILROAD MEDICARE
3	05721369	OTHER	ILLINOIS	BC/BS
4	F65233	MEDICARE UPIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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