Altshuler, Barry A

Altshuler, Barry A is an individual health care provider with primary practice located at 820 E Terra Cotta Ave Suite 226, Crystal Lake IL 60014-3649. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Altshuler, Barry A can be contacted via phone (815) 455-2100.

Contact Information

Primary practice address
820 E Terra Cotta Ave Suite 226 Crystal Lake IL 60014-3649
Fax: (815) 455-3284
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036071366 Illinois

Profile Details

NPI number 1134100688
LBN Legal business name Altshuler, Barry A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Dec 14th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134100688 NPPES
Illinois MEDICAID 036071366

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