Barham, Jennifer K

Barham, Jennifer K is an individual health care provider with primary practice located at 1530 N Randall Rd Ste 210 , Elgin IL 60123-7879. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Barham, Jennifer K can be contacted via phone (224) 760-7322.

Contact Information

Primary practice address
1530 N Randall Rd Ste 210 Elgin IL 60123-7879
Phone: (224) 760-7322
Fax: (224) 535-8252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209-009597 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209009597 Illinois

Profile Details

NPI number 1184987497
LBN Legal business name Barham, Jennifer K
Credentials ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2012
Last updated Oct 5th, 2018 - about 6 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 1184987497 NPPES
Illinois Other 206147238 MEDICARE PTAN
Illinois Other 206147 MEDICARE PTAN
Illinois Other 209-009597 MEDICARE PTAN

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