MEDICARE: JAMES THOMAS BARRETT M.D.

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	207R00000X	Internal Medicine Physician	036096271	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0360962712	OTHER	IL	STATE LICENSE

General Provider Information

NPI Number	:	1407863210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES THOMAS BARRETT M.D.

Provider Business Mailing Address
First Line	:	180 N MICHIGAN AVE STE 1605
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-7478
Country	:	US
Telephone Number	:	312-994-3000
Fax Number	:	312-201-1202

Provider Business Practice Location Address
First Line	:	180 N MICHIGAN AVE STE 1605
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-7478
Country	:	US
Telephone Number	:	312-994-3000
Fax Number	:	312-201-1202

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

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	09/12/2019

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Directions to “ JAMES THOMAS BARRETT M.D.” Practice Location

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