MEDICARE: MICHAEL BARNAS

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	051306440	IL

General Provider Information

NPI Number	:	1780548289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL BARNAS

Provider Business Mailing Address
First Line	:	4845 N OZARK AVE
Second Line	:
City	:	NORRIDGE
State	:	IL
Zip	:	60706-3309
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 BIESTERFIELD RD
Second Line	:
City	:	ELK GROVE VILLAGE
State	:	IL
Zip	:	60007-3361
Country	:	US
Telephone Number	:	847-981-3669
Fax Number	:

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

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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