Most Relevant Information
Provider Data
| NPI Number: | 1003299165 |
| Provider Name: | JULIET IBANEZ PANAMBO KANTOFF AGPCNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209012519 |
Most Important Dates
| Enumeration Date: | 07/07/2015 |
| Last Updated: | 08/02/2024 |
Provider Practice Location
401 N MICHIGAN AVE STE 1200
CHICAGO
IL
606114264
Practice Location Phone/Fax
| Phone: | 3126350973 |
| Fax: |
Provider Mailing Location
3946 N RAVENSWOOD AVE APT 408
CHICAGO
IL
606135679
Provider Mailing Phone/Fax
| Phone: | 3122084962 |
| Fax: |