Individual
GARY JAY BARSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
386 N YORK ST, STE 205, ELMHURST, IL 60126-2367
(630) 832-8111
(630) 832-8145
Mailing address
386 N YORK ST, STE 205, ELMHURST, IL 60126-2367
(630) 832-8111
(630) 832-8145
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036056902
IL
207NS0135X
Procedural Dermatology Physician
036056902
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-056902
IL STATE LICENSE NUMBER
IL
05
—
036056902
—
IL
01
—
10574268
CAQH
IL
01
—
1881756633
NPI
IL
01
—
2201537
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/15/2006
Last updated
09/24/2013
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