Provider Demographics
NPI:1093852410
Name:BARNETT, LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:
Last Name:BARNETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 PARKWAY DRIVE
Mailing Address - Street 2:STE 150 #AT107
Mailing Address - City:LINCOLNSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60069
Mailing Address - Country:US
Mailing Address - Phone:847-480-1346
Mailing Address - Fax:224-545-5075
Practice Address - Street 1:250 PARKWAY DRIVE
Practice Address - Street 2:STE 150 #AT107
Practice Address - City:LINCOLNSHIRE
Practice Address - State:IL
Practice Address - Zip Code:60069
Practice Address - Country:US
Practice Address - Phone:847-480-1346
Practice Address - Fax:224-545-5075
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-0621872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209243Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER
ILE34311Medicare UPIN