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Juan M Ibarra, MD
Specialist in Freeport, Illinois
NPI 1891817565

Juan M Ibarra is a Specialist based in Freeport, IL. Juan M Ibarra practices in Freeport, IL and has the professional credentials of MD. The NPI Number for Juan M Ibarra is 1891817565 and holds a License No. 036082621 (Illinois).

The current practice location address for Juan M Ibarra is 1045 W Stephenson St, Freeport, IL and can be reached out via phone at 815-599-6159.

Location: 1045 W Stephenson St, Freeport, IL, 61032-9315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891817565
Provider Name
Juan M Ibarra
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1045 W Stephenson St, Freeport, IL, 61032-9315
Phone Number
815-599-6159
Fax Number
Provider Enumeration Date
04/04/2007
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
08932005 01 IL BCBS OF IL PROVIDER NBR
720000238 01 IL RAILROAD MEDICARE NUMBER
institution
Provider Business Practice Location Address Details
Address
1045 W Stephenson St
City
Freeport
State
Illinois
Zip
61032-4864
Phone Number
815-599-6159
Fax Number
person
Provider Business Mailing Address Details
Address
1045 W Stephenson St
City
Freeport
State
Illinois
Zip
61032-4864
Phone Number
815-599-6159
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036082621 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Anesthesiology
Speciality
Pain Medicine
Taxonomy
207LP2900X
License No.
036082621 (Illinois)
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
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