Provider Demographics
NPI:1235342429
Name:BARABAS, ROBERT J (OD, FAAO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:BARABAS
Suffix:
Gender:M
Credentials:OD, FAAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 N. LA SALLE STREET
Mailing Address - Street 2:SUITE 155
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602
Mailing Address - Country:US
Mailing Address - Phone:312-236-7538
Mailing Address - Fax:312-236-1205
Practice Address - Street 1:2 N. LA SALLE STREET
Practice Address - Street 2:SUITE 155
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602
Practice Address - Country:US
Practice Address - Phone:312-236-7538
Practice Address - Fax:312-236-1205
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management