Healthcare Provider Details

I. General information

NPI: 1508920828
Provider Name (Legal Business Name): THOMAS W. BARNEY D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S. HALE ST. STE. 2
PLANO IL
60545-0188
US

IV. Provider business mailing address

200 S. HALE ST. STE. #2
PLANO IL
60545-0188
US

V. Phone/Fax

Practice location:
  • Phone: 630-552-9887
  • Fax: 630-552-9890
Mailing address:
  • Phone: 630-552-9887
  • Fax: 630-552-9890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: