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Individual

KEVIN BARTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2160 S FIRST AVE, (LUH- NORTH ENT., RM. 7604), MAYWOOD, IL 60153
(708) 216-3304
(708) 216-1259
Mailing address
2160 S FIRST AVE, (LUH- NORTH ENT., RM. 7604), MAYWOOD, IL 60153
(708) 216-3304
(708) 216-1259

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
36079049
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36079049
IL
Enumeration date
12/28/2005
Last updated
08/13/2009
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