IBSEN, LLC (NPI# 1760873517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760873517 |
| Entity Type | Organization |
| Organization Name | IBSEN, LLC |
| Practice Address |
16003 Executive Dr Crest Hill IL 60403-0500 |
| Practice Telephone | 8158389544 |
| Practice Fax Number | 8158389580 |
| Mailing Telephone | 8158389544 |
| Mailing Fax Number | 8158389580 |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |
| Authorized Official Name | DR. RAFAEL PEREZ GUERRA (PRESIDENT) |
| Authorized Official Telephone | 8158389544 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 036057264 | IL | Ambulatory Health Care Facilities |
| Street Address |
16003 EXECUTIVE DR |
| City | CREST HILL |
| State | IL |
| Zip Code | 60403-0500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578653994 | Rafael A Perez-guerra | Family Medicine | 16003 Executive Dr, Crest Hill, IL 60403-0500 | 2006-10-14 |
| 1316387616 | Ibsen LLC | Family Medicine | 16003 Executive Dr, Crest Hill, IL 60403-0500 | 2013-07-01 |
| 1568693745 | Rafael Perez-guerra | Family Medicine | 16003 Executive Dr, Crest Hill, IL 60403-0500 | 2009-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790336 | Priority You Physical Therapy and Wellness, Pllc | Clinic/Center | 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 | 2020-11-03 |
| 1508475039 | Hilary Eichie | Nurse Practitioner | 20025 Division St., Crest Hill, IL 60403 | 2020-07-30 |
| 1982237137 | Jena L. Margis | Counselor | Crossroads Counseling and Care Center, 1520 N. Rock Run Drive, Suite #14, Crest Hill, IL 60403 | 2020-02-17 |
| 1457845109 | Rachael Wiktor | Physical Therapy Assistant | 16101 Weber Road, Crest Hill, IL 60403 | 2018-06-17 |
| 1346613718 | Christopher Michael Galloway | Nurse Practitioner | 20660 Caton Farm Road, Unit F, Crest Hill, IL 60403 | 2015-11-07 |
| 1861758278 | Evaristo Peralta Aguinaldo Jr. | General Practice | 16300 Illinois 53, Crest Hill, IL 60403 | 2012-04-10 |
| 1366735250 | Jennifer Beckman | Social Worker | 1000 Remington 16151 Weber Road, Suite 101, Cresthill, IL 60403 | 2011-05-25 |
| 1083911283 | Olufunmilola Ayankoya | Nurse Practitioner | 16830 Il-53, Crest Hill, IL 60403 | 2011-02-24 |
| 1528205168 | Associated Foot Surgeons of Joliet Ltd | Clinic/Center | 2204 Weber Road, Crest Hill, IL 60403 | 2009-01-20 |
| 1417105917 | Dolar R Koya Md Sc | Dermatology | 2215 Theodore St, Cresthill, IL 60403 | 2008-09-09 |
| Find all providers in zip 60403 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477705440 | Mariusz Rogalski, Md, Sc | Clinic/Center | 16001 Executive Dr, Crest Hill, IL 60403-0500 | 2008-10-21 |
| 1114050770 | Dr Ahsan and Assoc. | Clinic/Center | 1640 Willow Circle Dr, Crest Hill, IL 60403-0959 | 2007-03-13 |
| 1730228610 | Allergy & Asthma Center | Clinic/Center | 2228 Weber Rd, Crest Hill, IL 60435-0928 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069805 | Elite Spine & Wellness Center, Inc | Clinic/Center | 5898 Pathfinder Rd, Rockford, IL 61109-4008 | 2020-10-08 |
| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
| City | CREST HILL |
| Zip Code | 60403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.