JUAN M IBARRA (NPI# 1891817565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891817565 |
Entity Type | Individual |
Full Name | JUAN M IBARRA |
Credential | MD |
Practice Address |
1045 W Stephenson St Freeport IL 61032-4864 |
Mailing Address |
2830 Marvin Ln Freeport IL 61032-9315 |
Practice Telephone | 8155996159 |
Mailing Telephone | 8152357093 |
Enumeration Date | 2007-04-04 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | IL | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BCBS OF IL PROVIDER NBR | 08932005 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477160802 | Juan C Ibarra | Home Health | 423 Champions Dr, Brownsville, TX 78520-8935 | 2020-09-29 |
1184236325 | Juan Ibarra | Student in an Organized Health Care Education/Training Program | 13130 Burbank Blvd, Sherman Oaks, CA 91401-6000 | 2020-08-19 |
1083128656 | Juan Alejandro Ibarra | Pharmacist | 921 Henderson St, Fort Worth, TX 76102-3535 | 2017-11-19 |
1679916449 | Juan M Ibarra | Rehabilitation Practitioner | 9808 Venice Blvd, Suite 700, Culver City, CA 90232-2732 | 2013-04-11 |
1336416874 | Juan G Ibarra | Specialist | 1380 Howard St Fl 4, San Francisco, CA 94103-2651 | 2011-11-29 |
1942538962 | Juan Antonio Ibarra | Pharmacist | 7586 Mountain Creek Pkwy, Walgreens, Dallas, TX 75249-1356 | 2009-12-02 |
1326174061 | Juan M Ibarra | Social Worker | 3900 Broadway, Oakland, CA 94611-5616 | 2007-02-26 |
Street Address |
1045 W STEPHENSON ST |
City | FREEPORT |
State | IL |
Zip Code | 61032-4864 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528030202 | Beth A Kalnins | Family Medicine | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2006-02-06 |
1699381723 | Ryan Michael Kerr | Dietitian, Registered | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2020-09-23 |
1821619701 | Angela La Dow | Nurse Practitioner | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2020-05-01 |
1396385126 | Dawn M Zielke | Dietitian, Registered | 1045 W Stephenson St, Freeport, IL 61032-4899 | 2020-01-09 |
1013404151 | Linda Marie Kolka | Emergency Medicine | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2018-04-14 |
1093225377 | Josie Orr | Registered Nurse | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2017-10-02 |
1346769171 | Sarah E Marsh | Nurse Practitioner | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2017-09-13 |
1356880264 | Elizabeth Smith | Speech-Language Pathologist | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2017-02-13 |
1215474358 | Courtney Braselton | Occupational Therapist | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2017-01-27 |
1891140448 | Shevawn Svehla | Social Worker | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2016-05-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013517713 | Saad Awan | Pharmacist | 2545 Illinois 26 S, Freeport, IL 61032 | 2020-10-30 |
1891354460 | Freeport Chiropractic LLC | Chiropractor | 2 W Stephenson St, Freeport, IL 61032 | 2019-06-07 |
1487168373 | Lindsey Rae Harris-baker | Speech-Language Pathologist | 1802 W Laurel St, Freeport, IL 61032 | 2017-11-30 |
1861871246 | Pearl Pavilion LLC | Skilled Nursing Facility | 910 Kiwanis Drive, Freeport, IL 61032 | 2015-05-19 |
1245584598 | Mary E Brown | Massage Therapist | 815 W. Pleasant Street, Freeport, IL 61032 | 2012-11-07 |
1700135803 | April Braband | Specialist | 421 Exchange, Freeport, IL 61032 | 2012-09-05 |
1518198662 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 1013 W Loras Dr, Suite A, Freeport, IL 61032 | 2009-08-06 |
1447486501 | Gary Alan Besley | Dentist | 1450 S. West Ave., Freeport, IL 61032 | 2009-06-03 |
1023244290 | Allies In Health Sc | Chiropractor | 418 W Meadows Dr., Freeport, IL 61032 | 2009-06-02 |
1912146614 | Kayla Nicole Rodebaugh | Specialist/Technologist | 1010 Fairway Drive, Freeport, IL 61032 | 2009-02-19 |
Find all providers in zip 61032 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
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. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336625839 | Elizabeth Rodriguez | Specialist | 67 Saint Marks Ave, Freeport, NY 11520-5407 | 2018-07-17 |
1083190912 | Valerie Faye Dipinto | Specialist | 578 S Main St, Freeport, NY 11520-5714 | 2018-07-13 |
1912409608 | Gennel Tanisha Bradley | Specialist | 8 Wilshire Ct, Freeport, NY 11520-6233 | 2018-03-08 |
1497256077 | Jenelle Stewart | Specialist | 9 William Pl, Freeport, NY 11520-5900 | 2018-02-28 |
1427562552 | Yolanda Groeneveldt-mouzon | Specialist | 142 California Ave, Freeport, NY 11520-1311 | 2017-11-28 |
1972045631 | Linda Assaf | Specialist | 43 W Seaman Ave, Freeport, NY 11520-1523 | 2016-11-12 |
1437530854 | Tarsha Reynolds | Specialist | 221 N. Columbus Ave, Freeport, NY 11520 | 2015-06-11 |
1578984969 | Audra Rose Lamb | Specialist | 143 Pearsall Ave, Freeport, NY 11520-2618 | 2014-01-02 |
1982032785 | Deborah Stecker | Specialist | 89 Jefferson St, Freeport, NY 11520-6248 | 2013-10-15 |
1639501455 | Angelina Kraeling | Specialist | 176 Sweezy Ave, Freeport, NY 11520-4118 | 2013-08-02 |
Find all providers in FREEPORT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.