Individual
MS. ELLEN B BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
6201 ROOSEVELT RD, BERWYN, IL 60402-1108
(708) 386-0845
(708) 386-8472
Mailing address
6201 ROOSEVELT RD, BERWYN, IL 60402-1108
(708) 386-0845
(708) 386-8472
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209003213
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209003213
—
IL
Enumeration date
04/20/2007
Last updated
10/18/2011
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