Agnes Renee Libot, MD | |
2160 S. First Ave., Maywood, IL 60153 | |
(708) 216-5118 | |
Not Available |
Full Name | Agnes Renee Libot |
---|---|
Gender | Female |
Speciality | Hospitalist |
Experience | 15 Years |
Location | 2160 S. First Ave., Maywood, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134361231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036132822 (Illinois) | Secondary |
208M00000X | Hospitalist | 036132822 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Loyola University Medical Center | Maywood, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Loyola University Medical Center | 3779488903 | 857 |
Entity Name | Loyola University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
Mailing Address | Practice Location Address |
---|---|
Agnes Renee Libot, MD 2160 S. First Ave, Maywood, IL 60153 Ph: () - | Agnes Renee Libot, MD 2160 S. First Ave., Maywood, IL 60153 Ph: (708) 216-5118 |
Shivy Sharma, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
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