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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023062460 | NPPES |
Illinois | Other | 08932005 | BCBS OF IL PROVIDER # |
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