Individual
MS. CHANDRA Y BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7115 NORTH AVE, #317, OAK PARK, IL 60304
(312) 880-7107
Mailing address
7115 NORTH AVE # 317, OAK PARK, IL 60302-1002
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B652-1197-8885
IL
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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