Individual
JONATHAN PAUL P. BARBOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
377 W VIRGINIA ST, CRYSTAL LAKE, IL 60014-5756
(815) 707-4806
Mailing address
502 MCHENRY AVE APT 103, WOODSTOCK, IL 60098-2975
(815) 707-4806
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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