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Enrique Ibarra

NPI 1215384748 · on the registry since 2016

Practice

Address
20 S Weber Rd
Romeoville, IL 60446
Phone
(815) 293-0858
Fax
(815) 293-2136
Organisation at this address
Edward Health Ventures
American Drug Stores Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois