1376653188 NPI number — ISI HEALTH CARE LTD.

Table of content: CHRISTOPHER MICHAEL BARIANA D.O. (NPI 1992092662)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376653188 NPI number — ISI HEALTH CARE LTD.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ISI HEALTH CARE LTD.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1376653188
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4116 DIAMOND CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NAPERVILLE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60564-7131
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4116 DIAMOND CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NAPERVILLE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60564-7131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-904-0850
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/30/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BIGOL
Authorized Official First Name:
ISIDELA
Authorized Official Middle Name:
VILLARUZ
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
630-904-0850

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , 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)