MEDICARE: JANET S BARNEY APNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	041.554677	IL
2	363LP2300X	Primary Care Nurse Practitioner	3944-33	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366440851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET S BARNEY APNP

Provider Business Mailing Address
First Line	:	50 S MILWAUKEE AVE STE 201
Second Line	:
City	:	LAKE VILLA
State	:	IL
Zip	:	60046-5426
Country	:	US
Telephone Number	:	847-838-9253
Fax Number	:	888-608-0343

Provider Business Practice Location Address
First Line	:	50 S MILWAUKEE AVE STE 201
Second Line	:
City	:	LAKE VILLA
State	:	IL
Zip	:	60046-5426
Country	:	US
Telephone Number	:	847-838-9253
Fax Number	:	888-608-0343

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	12/15/2025

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Directions to “ JANET S BARNEY APNP” Practice Location

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