Individual
PHILLIP BARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FAAFP
Contact information
Practice address
1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
(217) 464-2966
Mailing address
75 REMITT DRIVE, LOCKBOX 1707, CHICAGO, IL 60675-1707
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-071347
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071347
—
IL
Enumeration date
07/14/2006
Last updated
12/17/2021
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