Jaime Michelle Libes
Pediatrician Pediatric Hematology-Oncologist
530 Ne Glen Oak Ave
Peoria
, Illinois 61637-0001
Jaime Michelle Libes
Pediatrician Pediatric Hematology-Oncologist
530 Ne Glen Oak Ave
Peoria
, Illinois 61637-0001
(309) 624-4945
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About
Features
Specialties
- Pediatrician
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Jaime Michelle Libes
- 530 Ne Glen Oak Ave
- Peoria, IL
- Zip : 61637-0001
- Phone : (309) 624-4945
Second Address
- Jaime Michelle Libes
- 530 Ne Glen Oak Ave
- Peoria, IL
- Zip : 61637-0001
- Phone : (309) 624-4945
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 0101248768 | VA |
| N | 208000000X | Pediatrician | MD49195 | TN |
| Y | 2080P0207X | Pediatric Hematology-Oncologist | 036-136820 | IL |
National Provider Identifier
| NPI | 1215228572 |
|---|---|
| Provider Name | Jaime Michelle Libes |
| First Address | Peoria, IL 61637-0001 |
| Second Address | Peoria, IL 61637-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/04/2011 |
| Last Update Date | 07/12/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.