Provider Demographics
NPI:1659425361
Name:BARNES & KLATT PC
Entity Type:Organization
Organization Name:BARNES & KLATT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:KLATT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:847-981-9200
Mailing Address - Street 1:825 E GOLF ROAD
Mailing Address - Street 2:SUITE 1127 BARNES & KLATT PC
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005
Mailing Address - Country:US
Mailing Address - Phone:847-981-9200
Mailing Address - Fax:847-981-9322
Practice Address - Street 1:825 E GOLF RD
Practice Address - Street 2:SUITE 1127 BARNES & KLATT PC
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-5700
Practice Address - Country:US
Practice Address - Phone:847-981-9200
Practice Address - Fax:847-981-9322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL589170Medicare ID - Type Unspecified