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NPI Code Detail

MEDICARE: SOFIA IRIBARREN BARO

MEDICARE: SOFIA IRIBARREN BARO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist070-029147IL

General Provider Information

NPI Number : 1568355147
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOFIA IRIBARREN BARO
Provider Business Mailing Address
First Line : 2122 YORK RD STE 300
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1925
Country : US
Telephone Number : 630-575-2000
Fax Number :
Provider Business Practice Location Address
First Line : 3922 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2926
Country : US
Telephone Number : 773-327-0040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2025
Last Update Date : 06/02/2025

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Directions to “ SOFIA IRIBARREN BARO ” Practice Location

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