Provider Demographics
NPI:1730143504
Name:BARTHEN, ALAN R (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:R
Last Name:BARTHEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:395 CARY ALGONQUIN RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-2090
Mailing Address - Country:US
Mailing Address - Phone:847-639-0010
Mailing Address - Fax:847-639-9233
Practice Address - Street 1:395 CARY ALGONQUIN RD
Practice Address - Street 2:SUITE C
Practice Address - City:CARY
Practice Address - State:IL
Practice Address - Zip Code:60013-2090
Practice Address - Country:US
Practice Address - Phone:847-639-0010
Practice Address - Fax:847-639-9233
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5682015OtherBCBS
IL714070Medicare ID - Type Unspecified
IL3500I0519Medicare ID - Type UnspecifiedRR
IL5682015OtherBCBS