Physician Compare National (NPI:1003299165)

HEALTHCARE PROVIDER: JULIET IBANEZ PANAMBO KANTOFF AGPCNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1003299165
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234443938
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150807013968
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PANAMBO
	Individual professional last name
Provider First Name	JULIET
	Individual professional first name
Provider Middle Name	I
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ASSOCIATED PHYSICIANS OF REHABILITATION LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3173795150
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	11
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	205 E BUTTERFIELD RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 297
	Group Practice or individual's line 2 address
City	ELMHURST
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	601265103
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7087950100
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140054
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MACNEAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y