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Contact Information

IBARRA INTERVENTIONAL PAIN MANAGEMENT SC
1045 W STEPHENSON ST
FREEPORT, IL61032-4864
 Phone: 815-599-6159
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for IBARRA INTERVENTIONAL PAIN MANAGEMENT SC · (Female)

NPI Number 1023062460
Status Active
Credentials
Entity Individual
Enumeration date 05/20/2006
Last updated 03/29/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036082621
  • IL Other 08932005 BCBS OF IL PROVIDER #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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