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NPI Code Detail

MEDICARE: COURTNEY BARRETT

MEDICARE: COURTNEY BARRETT
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
1363LF0000XFamily Nurse Practitioner209.034303IL

General Provider Information

NPI Number : 1649120783
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY BARRETT
Provider Business Mailing Address
First Line : 1201 N LA SALLE DR APT 1401
Second Line :
City : CHICAGO
State : IL
Zip : 60610-3048
Country : US
Telephone Number : 815-931-3650
Fax Number :
Provider Business Practice Location Address
First Line : 1201 N LA SALLE DR APT 1401
Second Line :
City : CHICAGO
State : IL
Zip : 60610-3048
Country : US
Telephone Number : 815-931-3650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

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Directions to “ COURTNEY BARRETT ” Practice Location

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