Individual
ENRIQUE IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 S WEBER RD, ROMEOVILLE, IL 60446-4947
(815) 293-0858
(815) 293-2136
Mailing address
20 S WEBER RD, ROMEOVILLE, IL 60446-4947
(815) 293-0858
(815) 293-2136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051286106
IL
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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