MEDICARE: MISS MARCI HELENE BARBIER ATC

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	2255A2300X	Athletic Trainer		IL

General Provider Information

NPI Number	:	1548225196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MARCI HELENE BARBIER ATC

Provider Business Mailing Address
First Line	:	13019 FOX RD
Second Line	:
City	:	YORKVILLE
State	:	IL
Zip	:	60560-9539
Country	:	US
Telephone Number	:	630-553-7631
Fax Number	:

Provider Business Practice Location Address
First Line	:	ATI PHYSICAL THERAPY
Second Line	:	4511 ROUTE 71
City	:	OSWEGO
State	:	IL
Zip	:	60543-7416
Country	:	US
Telephone Number	:	630-554-7815
Fax Number	:

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

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	07/08/2007

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