Organization
IBSEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL PEREZ GUERRA MD (PRESIDENT)
(815) 838-9544
Entity
Organization
Contact information
Practice address
16003 EXECUTIVE DR, CREST HILL, IL 60403-0500
(815) 838-9544
(815) 838-9580
Mailing address
16003 EXECUTIVE DR, CREST HILL, IL 60403-0500
(815) 838-9544
(815) 838-9580
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036057264
IL
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
About Stedi
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