Individual
BARBARA HERMAN BAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1770 W BERTEAU AVE STE 302A, CHICAGO, IL 60613-1750
(773) 850-0526
Mailing address
1770 W BERTEAU AVE STE 302A, CHICAGO, IL 60613-1750
(773) 850-0526
(888) 965-1182
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015422
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477816247
NPI
IL
01
—
996340012
PTAN
IL
Enumeration date
09/06/2012
Last updated
10/30/2019
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