Provider Demographics
NPI:1467752444
Name:HINMAN, L BARRIE (LAC)
Entity Type:Individual
Prefix:
First Name:L
Middle Name:BARRIE
Last Name:HINMAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 S NORTHWEST HWY STE 102B
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-4600
Mailing Address - Country:US
Mailing Address - Phone:847-382-1884
Mailing Address - Fax:847-382-8422
Practice Address - Street 1:215 S NORTHWEST HWY STE 102B
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-4600
Practice Address - Country:US
Practice Address - Phone:847-382-1884
Practice Address - Fax:847-382-8422
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198000880171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist