Bara, Jennifer

Bara, Jennifer is an individual health care provider with primary practice located at 425 Huehl Rd Unit 13 , Northbrook IL 60062-2319. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Bara, Jennifer can be contacted via phone (847) 504-5000.

Contact Information

Primary practice address
425 Huehl Rd Unit 13 Northbrook IL 60062-2319
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016.005425 Illinois

Profile Details

NPI number 1407180532
LBN Legal business name Bara, Jennifer
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2009
Last updated Jan 25th, 2016 - about 8 years ago

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 1407180532 NPPES
Wisconsin Other P01572007 RAILROAD MEDICARE

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