Individual
KENNETH R BARBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-099756
IL
207W00000X
Ophthalmology Physician
Primary
036-099756
IL
Other
Enumeration date
06/08/2006
Last updated
08/13/2026
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