Healthcare Provider Details

I. General information

NPI: 1962851931
Provider Name (Legal Business Name): CAMERON BARTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2016
Last Update Date: 07/21/2021
Certification Date: 07/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 W HARRISON ST STE 300
CHICAGO IL
60612-4861
US

IV. Provider business mailing address

1611 W HARRISON ST STE 300
CHICAGO IL
60612-4861
US

V. Phone/Fax

Practice location:
  • Phone: 708-236-2600
  • Fax:
Mailing address:
  • Phone: 708-236-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberR 10569
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberR 10569
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberR 10569
License Number StateIA
# 4
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberR 10569
License Number StateIA
# 5
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberR 10569
License Number StateIA
# 6
Primary TaxonomyN
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License NumberR 10569
License Number StateIA
# 7
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberR 10569
License Number StateIA
# 8
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberR 10569
License Number StateIA
# 9
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number036155343
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: