| Mrs Jennifer K Barham, ANP-BC | |
|
1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | |
| (224) 760-7322 | |
| (224) 535-8252 |
| Full Name | Mrs Jennifer K Barham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 1530 N Randall Rd Ste 210, Elgin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184987497 | NPI | - | NPPES |
| 206147238 | Other | IL | MEDICARE PTAN |
| 206147 | Other | IL | MEDICARE PTAN (GROUP) |
| 209-009597 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209-009597 (Illinois) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 209009597 (Illinois) | Primary |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Entity Name | Integrative Rehabmedicine Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902014285 PECOS PAC ID: 8022115252 Enrollment ID: O20070522000532 |
| Entity Name | Chestnut Health Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588043939 PECOS PAC ID: 2264747344 Enrollment ID: O20150819006369 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer K Barham, ANP-BC 6400 Industrial Loop, Greendale, WI 53129-2452 Ph: (414) 858-4106 | Mrs Jennifer K Barham, ANP-BC 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 Ph: (224) 760-7322 |
Jacob Thomas Baker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 N Randall Rd Ste 210, Elgin, IL 60123 Phone: 224-760-7322 | |
Shay Lynn Ward, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1752 Capital St, Elgin, IL 60124 Phone: 847-695-3680 Fax: 847-695-4552 | |
Tiffany Robinson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 S Grove Ave Unit 308, Elgin, IL 60120 Phone: 312-581-8000 | |
Alyssa Marie Cowing, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 N Randall Rd Ste 210, Elgin, IL 60123 Phone: 224-760-7322 | |
Jaclyn Mastrangeli, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1425 N Randall Rd, Elgin, IL 60123 Phone: 847-742-9800 | |
Anna Krok, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1710 N Randall Rd Ste 380, Elgin, IL 60123 Phone: 847-450-6057 | |
Ms. Suzanne Marie Butler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 77 N Airlite St, Elgin, IL 60123 Phone: 847-888-3946 |