Provider Demographics
NPI:1326709585
Name:BARNES, RYIAH (CD)
Entity Type:Individual
Prefix:
First Name:RYIAH
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6641 W BELMONT AVE UNIT 168
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-5089
Mailing Address - Country:US
Mailing Address - Phone:708-831-3214
Mailing Address - Fax:
Practice Address - Street 1:6641 W BELMONT AVE UNIT 168
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-5089
Practice Address - Country:US
Practice Address - Phone:708-831-3214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula