Juliet Ibanez Panambo
Nurse Practitioner
Po Box 745
Elmhurst
, Illinois 60126-0745
Juliet Ibanez Panambo
Nurse Practitioner
Po Box 745
Elmhurst
, Illinois 60126-0745
(312) 208-4962
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Juliet Ibanez Panambo
- 5258 S Drexel Ave 1f
- Chicago, IL
- Zip : 60615-3752
- Phone : (312) 208-4962
Second Address
- Juliet Ibanez Panambo
- Po Box 745
- Elmhurst, IL
- Zip : 60126-0745
- Phone : (630) 400-1575
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209012519 | IL |
National Provider Identifier
| NPI | 1003299165 |
|---|---|
| Provider Name | Juliet Ibanez Panambo |
| First Address | Chicago, IL 60615-3752 |
| Second Address | Elmhurst, IL 60126-0745 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2015 |
| Last Update Date | 17/10/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 209.012519 | STATE LICENSE APN (01) | IL |
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.