Individual
ANN T WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
27790 W IL ROUTE 22 STE 32, BARRINGTON, IL 60010-2396
(847) 381-8181
(847) 381-0604
Mailing address
25941 N FARM VIEW CIR, LAKE BARRINGTON, IL 60010-7022
(847) 381-5104
(847) 381-0604
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036075414
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075414
—
IL
01
—
04915108
BLUECROSS/BLUESHIELD
IL
Enumeration date
10/06/2006
Last updated
10/20/2011
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