Ibarra Interventional Pain Management Sc

NPI #1023062460 in Freeport, Illinois

Provider Information

NPI Number: 1023062460
Entity Type: Organization
Organization Name: Ibarra Interventional Pain Management Sc
Primary Specialty: Legal Medicine
Enumeration Date: May 20, 2006
Last Updated: Mar 29, 2010

Practice Location

Address: 1045 W STEPHENSON ST
City: Freeport
State: Illinois
ZIP Code: 61032-4864
Phone: (815) 599-6159

Authorized Official

Name: JUAN M. IBARRA, M.D.
Title: PRESIDENT/OWNER
Phone: (815) 235-2353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Legal Medicine	173000000X	Primary

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