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NPI Code Detail

MEDICARE: ANDREA SMITH-BARNES

MEDICARE: ANDREA SMITH-BARNES
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
1235Z00000XSpeech-Language Pathologist146010923IL

General Provider Information

NPI Number : 1689077398
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA SMITH-BARNES
Provider Business Mailing Address
First Line : 26265 S SANDY LN
Second Line :
City : MONEE
State : IL
Zip : 60449-7122
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 120 W 26TH ST
Second Line :
City : SOUTH CHICAGO HEIGHTS
State : IL
Zip : 60411-4141
Country : US
Telephone Number : 708-756-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2014
Last Update Date : 10/08/2014

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Directions to “ ANDREA SMITH-BARNES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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