Individual
DR. JAY ANTHONY LIBOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
520 S MAPLE AVE, OAK PARK, IL 60304
(630) 842-6677
Mailing address
520 S MAPLE AVE, OAK PARK, IL 60304-1022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125056587
IL
208M00000X
Hospitalist Physician
Primary
036129008
IL
Other
Enumeration date
06/16/2009
Last updated
11/13/2019
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