MEDICARE: BARRINGTON HEALTH CARE FOR WOMEN

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	174400000X	Specialist

General Provider Information

NPI Number	:	1578695151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARRINGTON HEALTH CARE FOR WOMEN

Provider Business Mailing Address
First Line	:	5911 NORTHWEST HWY
Second Line	:	SUITE 201
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014-8065
Country	:	US
Telephone Number	:	815-455-7300
Fax Number	:

Provider Business Practice Location Address
First Line	:	5911 NORTHWEST HWY
Second Line	:	SUITE 201
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014-8065
Country	:	US
Telephone Number	:	815-455-7300
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	LAUREL LUEDTKE
Credential	:
Telephone Number	:	847-382-2320

Provider Enumeration Date	:	03/10/2007
Last Update Date	:	08/22/2020

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