Organization
BARRINGTON SPECIALISTS IN ADULT MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE E CARLSON M.D. (PARTNER)
(847) 382-6633
Entity
Organization
Contact information
Practice address
22N285 PEPPER RD, SUITE 407, LAKE BARRINGTON, IL 60010-5982
(847) 382-6633
(847) 382-6942
Mailing address
22N285 PEPPER RD, SUITE 407, LK BARRINGTON, IL 60010-5982
(847) 382-6633
(847) 382-6942
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036060898
IL
174400000X
Specialist
336029200
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060898
—
IL
Enumeration date
10/11/2007
Last updated
11/10/2008
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