Individual
BARRY L MULLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2615 WASHINGTON ST, ST. THERESE MEDICAL CENTER, WAUKEGAN, IL 60085-4980
(847) 360-2007
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
IL
Other
Enumeration date
07/21/2005
Last updated
07/08/2007
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