1154454601 NPI number — MRS. DONNA M BARKER MS, ANP-C, ONC, RN-C

Table of content: MRS. DONNA M BARKER MS, ANP-C, ONC, RN-C (NPI 1154454601)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154454601 NPI number — MRS. DONNA M BARKER MS, ANP-C, ONC, RN-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARKER
Provider First Name:
DONNA
Provider Middle Name:
M
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS, ANP-C, ONC, RN-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154454601
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/26/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22 RIVERS BEND CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAKE BARRINGTON
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60010-1506
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-381-5423
Provider Business Mailing Address Fax Number:
847-381-2110

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1555 BARRINGTON ROAD
Provider Second Line Business Practice Location Address:
ST. ALEXIUS MEDICAL CENTER
Provider Business Practice Location Address City Name:
HOFFMAN ESTATES
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60194
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-843-2000
Provider Business Practice Location Address Fax Number:
847-252-8802
Provider Enumeration Date:
03/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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