MEDICARE: BARBARA S. KIRSCHNER 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	2080P0206X	Pediatric Gastroenterology Physician		PA

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	:	1649300385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA S. KIRSCHNER M.D.

Provider Business Mailing Address
First Line	:	UNIVERSITY OF CHICAGO, PEDS GASTRO
Second Line	:	5839 SOUTH MARYLAND AVENUE, MC 4065
City	:	CHICAGO
State	:	IL
Zip	:	60637-1470
Country	:	US
Telephone Number	:	773-702-6418
Fax Number	:	773-702-0666

Provider Business Practice Location Address
First Line	:	UNIVERSITY OF CHICAGO, PEDS GASTRO
Second Line	:	5839 SOUTH MARYLAND AVENUE, MC 4065
City	:	CHICAGO
State	:	IL
Zip	:	60637-1470
Country	:	US
Telephone Number	:	773-702-6418
Fax Number	:	773-702-0666

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

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	07/08/2007

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