Individual
DR. JOEL KWAN BARRIENTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1054 MARTIN LUTHER KING DRIVE, SUITE 121, CENTRALIA, IL 62801-3065
(618) 533-3222
(618) 533-9606
Mailing address
1054 MARTIN LUTHER KING DRIVE, SUITE 121, CENTRALIA, IL 62801-3065
(618) 533-3222
(618) 533-9606
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036069061
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006100112
BLUE CROSS BLUE SHIELD
IL
05
—
036069061
—
IL
Enumeration date
10/24/2006
Last updated
10/12/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us