MEDICARE: NUMATRX MEDICAL

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1104776921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUMATRX MEDICAL

Provider Business Mailing Address
First Line	:	1206 S 14TH AVE STE 1
Second Line	:
City	:	MAYWOOD
State	:	IL
Zip	:	60153-1835
Country	:	US
Telephone Number	:	708-540-3256
Fax Number	:

Provider Business Practice Location Address
First Line	:	1206 S 14TH AVE STE 1
Second Line	:
City	:	MAYWOOD
State	:	IL
Zip	:	60153-1835
Country	:	US
Telephone Number	:	708-540-3256
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KIMBERLY BARKER- PRICE
Credential	:	MSN, APRN, AGPCNP-BC
Telephone Number	:	773-441-3835

Provider Enumeration Date	:	01/31/2026
Last Update Date	:	02/02/2026

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Directions to “NUMATRX MEDICAL ” Practice Location

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