| Doctor Name: | TIMOTHY R. CYBULSKI |
| NPI Number: | 1447491733 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.D.M.S. |
| License Number: | |
| Business Practice Address: | 150 Well St Park Forest, IL - 604661342 |
| Business Phone Number: | 7085039894 |
| Business Fax Number: | 7085039896 |
| Mailing Address: | 150 Well St, PARK FOREST |
| State: | IL |
| Postal Code: | 604661342 |
| Phone Number: | 7085039894 |
| Fax Number: | 7085039896 |
| NPI Enumeration Date: | 03/16/2009 |
| NPI Last Update Date: | 03/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471S1302X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |