Provider Demographics
NPI:1366489791
Name:VILLAGE OF BARRINGTON COOK & LAKE COUNTY
Entity Type:Organization
Organization Name:VILLAGE OF BARRINGTON COOK & LAKE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-304-3605
Mailing Address - Street 1:PO BOX 457
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-0457
Mailing Address - Country:US
Mailing Address - Phone:847-577-8811
Mailing Address - Fax:847-577-9515
Practice Address - Street 1:400 N NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-3389
Practice Address - Country:US
Practice Address - Phone:847-304-3605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL981813416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0208254OtherDEPT OF LABOR OWCP
IL1670673OtherBLUE CROSS BLUE SHIELD
IL490014664OtherMEDICARE RAILROAD
IL490014664OtherMEDICARE RAILROAD
IL=========OtherHEALTH NET FEDERAL SVC
IL490014664OtherMEDICARE RAILROAD
IL0208254OtherDEPT OF LABOR OWCP