Individual
JOSE IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
3815 HIGHLAND AVE, DOWNERS GROVE, IL 60515-1500
(630) 275-5900
Mailing address
387 SHUMAN BLVD STE 240W, NAPERVILLE, IL 60563-8113
(630) 868-2200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.029318
IL
Other
Enumeration date
02/20/2024
Last updated
02/24/2024
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