Individual
MR. STEPHEN BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
1804 222ND ST, SAUK VILLAGE, IL 60411-5046
(708) 758-2225
Mailing address
1804 222ND ST, SAUK VILLAGE, IL 60411-5046
(708) 758-2225
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
06200052
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8086
—
IL
Enumeration date
12/07/2021
Last updated
06/14/2023
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