Barr, Gwendolyn

Barr, Gwendolyn is an sole proprietor health care provider with primary practice located at 1459 Olive Rd , Homewood IL 60430-2411. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Barr, Gwendolyn can be contacted via phone (708) 799-7476.

Contact Information

Primary practice address
1459 Olive Rd Homewood IL 60430-2411
Phone: (708) 799-7476
Fax: (708) 799-0797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 041178830 Illinois

Profile Details

NPI number 1720193097
LBN Legal business name Barr, Gwendolyn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Aug 30th, 2010 - about 14 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 1720193097 NPPES
Illinois Other 034107 RECERTIFICATION CARD
Illinois Other 041178830 RECERTIFICATION CARD

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