MEDICARE: CRISTINA BARBOI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	01086628A	IN
2	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	01086628A	IN
3	207L00000X	Anesthesiology Physician	036092355	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1102276676	OTHER	IN	ANTHEM PTAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053394015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTINA BARBOI MD

Provider Business Mailing Address
First Line	:	1653 W CONGRESS PKWY
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3833
Country	:	US
Telephone Number	:	312-942-3138
Fax Number	:	312-942-5773

Provider Business Practice Location Address
First Line	:	1653 W CONGRESS PKWY
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3833
Country	:	US
Telephone Number	:	312-942-3138
Fax Number	:	312-942-5773

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	12/02/2024

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