Healthcare Provider Details

I. General information

NPI: 1962948232
Provider Name (Legal Business Name): BARRINGTON OUTPATIENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2017
Last Update Date: 01/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18-3 E DUNDEE RD SUITE 200
BARRINGTON IL
60010-5278
US

IV. Provider business mailing address

18-3 E DUNDEE RD SUITE 200
BARRINGTON IL
60010-5278
US

V. Phone/Fax

Practice location:
  • Phone: 847-382-4400
  • Fax:
Mailing address:
  • Phone: 847-382-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY ZBLISKI
Title or Position: PRACTICE MANAGER
Credential:
Phone: 847-382-4400