Healthcare Provider Details

I. General information

NPI: 1326449752
Provider Name (Legal Business Name): CHRISTINE ANN BARNES L. AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2014
Last Update Date: 09/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2260 W HIGGINS RD SUITE 103
HOFFMAN ESTATES IL
60169-2431
US

IV. Provider business mailing address

235 PEARL ST
CARY IL
60013-2231
US

V. Phone/Fax

Practice location:
  • Phone: 847-274-1192
  • Fax:
Mailing address:
  • Phone: 847-274-1192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number198001212
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: