Individual
OLIVIA R. BARKOCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 982-3362
Mailing address
2650 RIDGE AVE # 1223, EVANSTON, IL 60201-1700
(847) 982-3362
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041468274
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209030934
IL
Other
Enumeration date
07/15/2024
Last updated
12/02/2024
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