MEDICARE: BARRINGTON SPECIALISTS IN ADULT MEDICINE

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	174400000X	Specialist	336029200	IL
2	174400000X	Specialist	036060898	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588852818
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARRINGTON SPECIALISTS IN ADULT MEDICINE

Provider Business Mailing Address
First Line	:	22N285 PEPPER RD
Second Line	:	SUITE 407
City	:	LK BARRINGTON
State	:	IL
Zip	:	60010-5982
Country	:	US
Telephone Number	:	847-382-6633
Fax Number	:	847-382-6942

Provider Business Practice Location Address
First Line	:	22N285 PEPPER RD
Second Line	:	SUITE 407
City	:	LAKE BARRINGTON
State	:	IL
Zip	:	60010-5982
Country	:	US
Telephone Number	:	847-382-6633
Fax Number	:	847-382-6942

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. BRUCE E CARLSON
Credential	:	M.D.
Telephone Number	:	847-382-6633

Provider Enumeration Date	:	10/11/2007
Last Update Date	:	11/10/2008

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