Juan M Ibarra is a Specialist in Freeport, Illinois. Juan M Ibarra practices all healthcare services and medical treatments related to Specialist. The NPI Number for Juan M Ibarra is 1891817565. The last update date is 2007-07-09.
Juan M Ibarra's current location address is 1045 W Stephenson St, Freeport, Illinois. You can contact this provider via phone number 8155996159. The mailing address for Juan M Ibarra is 1045 W Stephenson St, Freeport, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Juan M Ibarra |
|---|---|
| Address | 1045 W Stephenson St, Freeport, Illinois |
| Phone Number | 8155996159 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1891817565 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1045 W Stephenson St |
|---|---|
| City | Freeport |
| State | Illinois (IL) |
| Post Code | 610324864 |
| Phone Number | 8155996159 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8932005 | IL | BCBS OF IL PROVIDER NBR |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Juan M Ibarra by the Centers for Medicare & Medicaid Services?
The Juan M Ibarra has been assigned the NPI (National Provider Identifier) 1891817565 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Juan M Ibarra's facilities are situated?
The facilities of Juan M Ibarra are physically located at the following address: 1045 W Stephenson St, Freeport, IL, 610324864.
What is Juan M Ibarra's area of expertise and its corresponding taxonomy classification?
The Juan M Ibarra's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
When did the Juan M Ibarra receive its 1891817565?
The Juan M Ibarra was issued its 1891817565 on 2007-04-04, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Juan M Ibarra most recently updated or revised?
The details related to Juan M Ibarra, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.