Ibarra, Mark Anthony

Ibarra, Mark Anthony is an individual health care provider with primary practice located at 3010 Grand Ave , Waukegan IL 60085-2321. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Ibarra, Mark Anthony can be contacted via phone (847) 204-5108.

Contact Information

Primary practice address
3010 Grand Ave Waukegan IL 60085-2321
Phone: (847) 204-5108
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1558945097
LBN Legal business name Ibarra, Mark Anthony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2021
Last updated May 11th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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