Healthcare Provider Details

I. General information

NPI: 1679654040
Provider Name (Legal Business Name): GULIZ BARKAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 04/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LOYOLA UNIVERSITY MEDICAL CENTER 2160 S FIRST AVE 101 1740
MAYWOOD IL
60153
US

IV. Provider business mailing address

LOYOLA UNIVERSITY MEDICAL CENTER 2160 S FIRST AVE 101 1740
MAYWOOD IL
60153
US

V. Phone/Fax

Practice location:
  • Phone: 708-216-9000
  • Fax: 708-216-9033
Mailing address:
  • Phone: 708-216-9000
  • Fax: 708-216-9033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: