Provider Demographics
NPI:1336112523
Name:BARON, JOSHUA DANA (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DANA
Last Name:BARON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1725 W HARRISON ST
Mailing Address - Street 2:SUITE 718
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3841
Mailing Address - Country:US
Mailing Address - Phone:312-942-4036
Mailing Address - Fax:312-942-4168
Practice Address - Street 1:1725 W HARRISON ST
Practice Address - Street 2:SUITE 718
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3841
Practice Address - Country:US
Practice Address - Phone:312-942-4036
Practice Address - Fax:312-942-4168
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2251482084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology