NPI 1023062460

Ibarra Interventional Pain Management Sc

Organisation Legal Medicine Freeport, IL

Practice location

Address: 1045 W Stephenson St, Freeport, IL 61032-4864
Phone: (815) 599-6159
Mailing address: PO Box 123, Freeport, IL 61032-0123

Authorised official

Name: Juan M. Ibarra
Title: President/Owner
Phone: (815) 235-2353

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence 036082621 (IL)

Other Legal Medicine providers in Illinois →

Registry record

NPI: 1023062460
Entity type: Organization
NPI issued: 20 May 2006
Record last updated: 29 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.