Healthcare Provider Details

I. General information

NPI: 1326141235
Provider Name (Legal Business Name): CHRISTOPHER ALEXANDER BARBOUR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 04/26/2023
Certification Date: 04/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

454 E ROOSEVELT RD
LOMBARD IL
60148-4630
US

IV. Provider business mailing address

29373 NETWORK PL
CHICAGO IL
60673-6110
US

V. Phone/Fax

Practice location:
  • Phone: 630-620-8061
  • Fax: 630-916-7525
Mailing address:
  • Phone: 847-390-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number36-054670
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036-054670
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: