Individual
AGNES RENEE LIBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2160 S. FIRST AVE., MAYWOOD, IL 60153
(708) 216-5118
Mailing address
2160 S. FIRST AVE, MAYWOOD, IL 60153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036132822
IL
208M00000X
Hospitalist Physician
Primary
036132822
IL
Other
Enumeration date
04/03/2009
Last updated
05/19/2022
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