JUAN M IBARRA


Address: 1045 W Stephenson St, Freeport, IL 61032-4864
Phone: 8155996159

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist IL Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL BCBS OF IL PROVIDER NBR 08932005 01

Other Providers JUAN IBARRA

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

Office Location

Street Address 1045 W STEPHENSON ST
City FREEPORT
State IL
Zip Code 61032-4864

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy 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.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City FREEPORT
Zip Code 61032

Improve Information

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Dataset Information

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.

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