IBSEN LLC – NPI #1316387616
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

IBSEN LLC is a provider located in CREST HILL, IL. NPPES has assigned the NPI number 1316387616 to IBSEN LLC on July 01, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IBSEN LLC below.

NPI Profile for
IBSEN LLC

NPI Number
1316387616
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IBSEN LLC
Primary location
16003 EXECUTIVE DR
CREST HILL, IL 60403-0500
Phone: (815) 744-2344 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RAFAEL PEREZ-GUERRA
PRESIDENT
Phone: (815) 744-2344
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
IL 036057264
207QB0002X
- Family Medicine / Obesity Medicine
IL 036057264
207QA0505X
- Family Medicine / Adult Medicine
IL 036057264

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.