Healthcare Provider Details

I. General information

NPI: 1003902123
Provider Name (Legal Business Name): KAREN M BARR APN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 07/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 OGDEN AVE SUITE 225
AURORA IL
60504-5894
US

IV. Provider business mailing address

545 PLAINFIELD RD C
WILLOWBROOK IL
60527-7601
US

V. Phone/Fax

Practice location:
  • Phone: 630-978-4800
  • Fax: 630-978-6791
Mailing address:
  • Phone: 630-654-2229
  • Fax: 630-655-3270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number209-001242
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: