Healthcare Provider Details

I. General information

NPI: 1194068700
Provider Name (Legal Business Name): PAULA R BARNES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAULA R BEY

II. Dates (important events)

Enumeration Date: 04/02/2013
Last Update Date: 08/12/2021
Certification Date: 08/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 QUAIL RIDGE DR
WESTMONT IL
60559-6145
US

IV. Provider business mailing address

460 QUAIL RIDGE DR
WESTMONT IL
60559-6145
US

V. Phone/Fax

Practice location:
  • Phone: 630-986-2800
  • Fax:
Mailing address:
  • Phone: 630-986-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number036141367
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036141367
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: