Ibsen Llc

LBN: Ibsen Llc
Ibsen Llc is an health care organization with primary practice located at 16003 Executive Dr , Crest Hill IL 60403-0500. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Ibsen Llc can be contacted via phone (815) 744-2344, or through Perez-Guerra, Rafael via phone (815) 744-2344.

Contact Information

Primary practice address
16003 Executive Dr Crest Hill IL 60403-0500
Phone: (815) 744-2344
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Perez-Guerra, Rafael Doctor of Medicine (MD)
Phone: (815) 744-2344

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 036057264 Illinois
Allopathic & Osteopathic Physicians / Obesity Medicine 207QB0002X 036057264 Illinois
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036057264 Illinois

Profile Details

NPI number 1316387616
LBN Legal business name Ibsen Llc
DBA Doing business as
Authorized official Perez-Guerra, Rafael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2013
Last updated Jul 1st, 2013 - about 11 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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