Healthcare Provider Details

I. General information

NPI: 1366440851
Provider Name (Legal Business Name): JANET S BARNEY APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 S MILWAUKEE AVE STE 201
LAKE VILLA IL
60046-5426
US

IV. Provider business mailing address

50 S MILWAUKEE AVE STE 201
LAKE VILLA IL
60046-5426
US

V. Phone/Fax

Practice location:
  • Phone: 847-838-9253
  • Fax: 888-608-0343
Mailing address:
  • Phone: 847-838-9253
  • Fax: 888-608-0343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number041.554677
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number3944-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: