MEDICARE: JOSHUA CHARLES BARNETT

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	104100000X	Social Worker	150.109915	IL

General Provider Information

NPI Number	:	1376263475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA CHARLES BARNETT

Provider Business Mailing Address
First Line	:	4322 N SHERIDAN RD APT 303
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-1401
Country	:	US
Telephone Number	:	773-354-6436
Fax Number	:

Provider Business Practice Location Address
First Line	:	3304 N LINCOLN AVE STE G
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-1108
Country	:	US
Telephone Number	:	847-337-9899
Fax Number	:	312-277-7194

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

Provider Enumeration Date	:	08/30/2022
Last Update Date	:	06/09/2026

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