Provider Demographics
NPI:1346972007
Name:JOBE, LIBBY (PA-C)
Entity Type:Individual
Prefix:
First Name:LIBBY
Middle Name:
Last Name:JOBE
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:656 W WRIGHTWOOD AVE APT 201
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-2528
Mailing Address - Country:US
Mailing Address - Phone:614-582-4230
Mailing Address - Fax:
Practice Address - Street 1:360 W BUTTERFIELD RD STE 160
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5099
Practice Address - Country:US
Practice Address - Phone:312-622-6916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-29
Last Update Date:2022-10-19
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant