IBARRA INTERVENTIONAL PAIN MANAGEMENT SC NPI 1023062460

NPI Information

  • NPI: 1023062460
  • Provider Name: IBARRA INTERVENTIONAL PAIN MANAGEMENT SC
  • Classification: Legal Medicine - 173000000X
  • Entity Type: Organization
  • Address: 1045 W STEPHENSON ST
    FREEPORT, IL
    ZIP 61032
  • Phone: (815) 599-6159

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NPI Details

IBARRA INTERVENTIONAL PAIN MANAGEMENT SC is a legal medicine in Freeport, IL. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. IBARRA INTERVENTIONAL PAIN MANAGEMENT SC NPI is 1023062460. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1045 W STEPHENSON ST
FREEPORT, IL
ZIP 61032-864
Phone: (815) 599-6159

The provider's authorized official is Juan M. Ibarra .
The authorized official title is President/owner and has the following contact phone number (815) 235-2353.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 3/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1173000000XLegal Medicine036082621ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
108932005OTHERILLINOISBCBS OF IL PROVIDER #
2208991/K06678MEDICARE ID-TYPE UNSPECIFIEDILLINOISGROUP/INDIVIDUAL NUMBER
3E90159MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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