Individual
CARL MICHAEL BARSANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2340 S HIGHLAND AVE, 230, LOMBARD, IL 60148-5371
(630) 932-2040
(866) 932-1513
Mailing address
2340 S HIGHLAND AVE, 230, LOMBARD, IL 60148-5371
(630) 932-2040
(866) 932-1513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
IL
207RP1001X
Pulmonary Disease Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215074
BLUE SHIELD PROVIDER NUMB
IL
Enumeration date
05/02/2006
Last updated
11/15/2007
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