MEDICARE: GREATER BARRINGTON FAMILY HEALTH CENTER, P.C.

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	207QS0010X	Sports Medicine (Family Medicine) Physician		IL

General Provider Information

NPI Number	:	1457358673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATER BARRINGTON FAMILY HEALTH CENTER, P.C.

Provider Business Mailing Address
First Line	:	PO BOX 957258
Second Line	:
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60195-7258
Country	:	US
Telephone Number	:	847-382-4466
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 EXECUTIVE CT
Second Line	:	BUILDING1, SUITE 2
City	:	SOUTH BARRINGTON
State	:	IL
Zip	:	60010-9533
Country	:	US
Telephone Number	:	847-382-4466
Fax Number	:	847-382-4499

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID A BIRNBAUM
Credential	:	M.D.
Telephone Number	:	847-382-4466

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	07/21/2022

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