Ibarra Interventional Pain Management Sc

NPI 1023062460 - Legal Medicine - 173000000X

NPI Details
NPI 1023062460
Enumeration Date 05/20/2006
Last Updated 03/29/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JUAN M. JUAN
Position PRESIDENT/OWNER
Phone (815) 599-6159
Fax
Practice Location
1045 W STEPHENSON ST
FREEPORT IL, 61032-4864, US
Phone (815) 599-6159
Fax
Business Location
PO BOX 123
FREEPORT IL, 61032-0123, US
Phone (815) 235-2353
Fax (815) 235-2353
Toxanomy
Taxonomy Code 173000000X
License State Illinois
License Number 036082621
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According to our database, Ibarra Interventional Pain Management Sc NPI is 1023062460, taxonomy code is 173000000X and license number is 036082621, license state is located at Illinois. Ibarra Interventional Pain Management Sc physically located at 1045 W Stephenson St, Freeport IL, 61032-4864. NPI Number 1033115704 has the healthcare provider type.

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1023062460 NPI number is provided on an as is basis without warranty of any kind. 1023062460 is maintained by the National Plan & Provider Enumeration System. The contents of Ibarra Interventional Pain Management Sc are for informational purposes only.