Healthcare Provider Details

I. General information

NPI: 1407863210
Provider Name (Legal Business Name): JAMES THOMAS BARRETT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 N MICHIGAN AVE STE 1605
CHICAGO IL
60601-7478
US

IV. Provider business mailing address

180 N MICHIGAN AVE STE 1605
CHICAGO IL
60601-7478
US

V. Phone/Fax

Practice location:
  • Phone: 312-994-3000
  • Fax: 312-201-1202
Mailing address:
  • Phone: 312-994-3000
  • Fax: 312-201-1202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036096271
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: