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
- City
- Crest Hill
- State
- Illinois
- 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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