Healthcare Provider Details

I. General information

NPI: 1023053741
Provider Name (Legal Business Name): JOHN T BARFIELD NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 11/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5131 N LINCOLN AVE
CHICAGO IL
60625-2584
US

IV. Provider business mailing address

6033 N SHERIDAN RD 33 J
CHICAGO IL
60660-3003
US

V. Phone/Fax

Practice location:
  • Phone: 773-271-0800
  • Fax: 773-271-1455
Mailing address:
  • Phone: 773-728-5480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209005118
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: