Provider Demographics
NPI:1366638355
Name:HUBBARD, BARBARA LEE (DN)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:LEE
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:DN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 E MAIN ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-3413
Mailing Address - Country:US
Mailing Address - Phone:847-438-4327
Mailing Address - Fax:847-438-4566
Practice Address - Street 1:41 E MAIN ST
Practice Address - Street 2:SUITE 110
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-3413
Practice Address - Country:US
Practice Address - Phone:847-438-4327
Practice Address - Fax:847-438-4566
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL172P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172P00000XOther Service ProvidersNaprapath