Individual
MARCI BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10125 S WESTERN AVE, CHICAGO, IL 60643-1522
(773) 236-3500
Mailing address
10125 S WESTERN AVE, CHICAGO, IL 60643
(773) 238-3500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026298
IL
1223G0001X
General Practice Dentistry
055956
NY
Other
Enumeration date
05/06/2008
Last updated
11/27/2018
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