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Dr. Kent E. Ibanez, MD
Diagnostic Radiology Physician in Maywood, Illinois
NPI 1326007972

Kent E. Ibanez is a Diagnostic Radiology Physician based in Austin, IL and is specialized in Diagnostic Radiology. Kent E. Ibanez practices in Maywood, IL and has the professional credentials of MD. The NPI Number for Kent E. Ibanez is 1326007972 and holds a License No. TEMP (Illinois).

The current practice location address for Kent E. Ibanez is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 708-216-9000.

Location: 2160 S 1St Ave, Maywood, IL, 78727-6431
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Provider Profile Details
NPI Number
1326007972
Provider Name
Kent E. Ibanez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1St Ave, Maywood, IL, 78727-6431
Phone Number
708-216-9000
Fax Number
Provider Enumeration Date
03/22/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00360851 01 RRMCARE
179932201 01 TX CSHCN2
179932202 05 TX
179932203 01 TX CSHCN1
P00360851 01 RRMCARE2
22557 01 NE NEBRASKA MEDICAL LICENSE
179932201 05 TX
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
State
Zip
60153-3328
Phone Number
708-216-9000
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
State
Zip
60153-3328
Phone Number
708-216-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
License No.
036169257 (Illinois)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
TEMP (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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