Healthcare Provider Details

I. General information

NPI: 1114218369
Provider Name (Legal Business Name): BARBARA KOREN APN, CCNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2011
Last Update Date: 03/19/2021
Certification Date: 03/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 E OGDEN AVE STE 111
HINSDALE IL
60521-3590
US

IV. Provider business mailing address

119 E OGDEN AVE STE 111
HINSDALE IL
60521-3590
US

V. Phone/Fax

Practice location:
  • Phone: 630-856-6990
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number209002663
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number209002663
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code364SC0200X
TaxonomyCritical Care Medicine Clinical Nurse Specialist
License Number209002663
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: