Ibsen, LLC

NPI #1760873517 in Crest Hill, Illinois

Provider Information

NPI Number
1760873517
Entity Type
Organization
Organization Name
Ibsen, LLC
Primary Specialty
Clinic/Center
Enumeration Date
Feb 16, 2015
Last Updated
Feb 16, 2015

Practice Location

Address
16003 EXECUTIVE DR
ZIP Code
60403-0500
Phone
(815) 838-9544

Authorized Official

Name
DR. RAFAEL PEREZ GUERRA, MD
Title
PRESIDENT
Phone
(815) 838-9544

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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