Healthcare Provider Details

I. General information

NPI: 1699436436
Provider Name (Legal Business Name): JANELLI K BARROW DNP, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2022
Last Update Date: 09/15/2023
Certification Date: 09/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 E SUPERIOR ST FL 16
CHICAGO IL
60611-2914
US

IV. Provider business mailing address

250 E SUPERIOR ST FL 16
CHICAGO IL
60611-2914
US

V. Phone/Fax

Practice location:
  • Phone: 312-926-2000
  • Fax: 312-472-0141
Mailing address:
  • Phone: 312-926-2000
  • Fax: 312-472-0141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number209027251
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number41.447614
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number209027251
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: