Individual
MRS. KATRINA SUE BARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2520 ELISHA AVE, ZION, IL 60099-2676
(847) 872-6367
Mailing address
2520 ELISHA AVE, ZION, IL 60099
(847) 872-4561
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.005619
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13817618
CAQH PROVIDER ID
IL
01
—
F400296166
MEDICARE ID
IL
Enumeration date
01/29/2016
Last updated
01/04/2024
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