Ibarra Interventional Pain Management Sc

LBN: Ibarra Interventional Pain Management Sc
Ibarra Interventional Pain Management Sc is an health care organization with primary practice located at 1045 W Stephenson St , Freeport IL 61032-4864. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Ibarra Interventional Pain Management Sc can be contacted via phone (815) 599-6159, or through Ibarra, Juan M. via phone (815) 235-2353.

Contact Information

Primary practice address
1045 W Stephenson St Freeport IL 61032-4864
Phone: (815) 599-6159
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ibarra, Juan M. Doctor of Medicine (MD)
Phone: (815) 235-2353

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 036082621 Illinois

Profile Details

NPI number 1023062460
LBN Legal business name Ibarra Interventional Pain Management Sc
DBA Doing business as
Authorized official Ibarra, Juan M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Mar 29th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023062460 NPPES
Illinois Other 08932005 BCBS OF IL PROVIDER #

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