Individual
MICHELLE MARCY BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
840 S WOOD ST # MC856, DEPARTMENT OF PEDIATRICS, CHICAGO, IL 60612-4325
(312) 996-1125
(312) 413-0243
Mailing address
840 S WOOD ST # MC856, DEPARTMENT OF PEDIATRICS, CHICAGO, IL 60612-4325
(312) 996-1125
(312) 413-0243
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036121593
IL
208000000X
Pediatrics Physician
Primary
036121593
IL
Other
Enumeration date
06/08/2007
Last updated
02/02/2010
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