Individual
BARRY P ATLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6374 N LINCOLN AVE, SUITE 312, CHICAGO, IL 60659-1275
(773) 588-7710
(773) 561-8977
Mailing address
6374 N LINCOLN AVE, SUITE 312, CHICAGO, IL 60659-1275
(773) 588-7710
(773) 561-8977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615754
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/28/2005
Last updated
12/17/2007
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