Individual
MS. JEANTA BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
8058 S YATES BLVD, CHICAGO, IL 60617-1103
(773) 879-6907
Mailing address
5080 N ELSTON AVE, CHICAGO, IL 60630-2459
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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