| Ibsen, LLC | |
|
16003 Executive Dr Crest Hill IL 60403-0500 | |
| (815) 838-9544 | |
| (815) 838-9580 |
| Full Name | Ibsen, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 16003 Executive Dr, Crest Hill, Illinois |
| Authorized Official Name and Position | Rafael Perez Guerra (PRESIDENT) |
| Authorized Official Contact | 8158389544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ibsen, LLC 16003 Executive Dr Crest Hill IL 60403-0500 Ph: (815) 838-9544 | Ibsen, LLC 16003 Executive Dr Crest Hill IL 60403-0500 Ph: (815) 838-9544 |
| NPI Number | 1760873517 |
|---|---|
| Provider Enumeration Date | 02/16/2015 |
| Last Update Date | 02/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760873517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 036057264 (Illinois) | Primary |
Dr Ahsan and Assoc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1640 Willow Circle Dr, Crest Hill, IL 60403 Phone: 815-741-2525 Fax: 815-741-2522 |
Ibsen LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16003 Executive Dr, Crest Hill, IL 60403 Phone: 815-744-2344 |
Premiumhealthcare PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16003 Executive Dr, Crest Hill, IL 60403 Phone: 815-838-9544 |
Mariusz Rogalski, MD, SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16001 Executive Dr, Crest Hill, IL 60403 Phone: 630-418-5050 |
Rafael Perez-guerra Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16003 Executive Dr, Crest Hill, IL 60403 Phone: 815-838-9544 Fax: 815-838-9580 |
Alvi Medical Services SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2208 Weber Rd, Unit A, Crest Hill, IL 60403 Phone: 815-725-1118 Fax: 815-725-1198 |