Healthcare Provider Details

I. General information

NPI: 1205043080
Provider Name (Legal Business Name): BARBARA A PARNESS R.N., A.P.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA ALICE PARNESS R.N., A.P.N.

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 01/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 BIESTERFIELD RD STE G01 WIMMER BUILDING
ELK GROVE VILLAGE IL
60007-3372
US

IV. Provider business mailing address

900 S FRONTAGE RD SUITE 325
WOODRIDGE IL
60517-4903
US

V. Phone/Fax

Practice location:
  • Phone: 847-981-3680
  • Fax: 847-871-4069
Mailing address:
  • Phone: 847-981-3680
  • Fax: 847-956-5122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number209-001413
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041-261988
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: