Ibanez, Kent E.

Ibanez, Kent E. is an individual health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Ibanez, Kent E. can be contacted via phone (708) 216-9000.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Phone: (708) 216-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X TEMP Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036169257 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M3269 Texas

Profile Details

NPI number 1326007972
LBN Legal business name Ibanez, Kent E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated May 30th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326007972 NPPES
Other P00360851 RRMCARE
Other 179932201 RRMCARE
MEDICAID 179932202 RRMCARE
Other 179932203 RRMCARE
Other P00360851 RRMCARE
Other 22557 RRMCARE
MEDICAID 179932201 RRMCARE

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