Provider Demographics
NPI:1770653925
Name:BARTON, RICHARD K SR (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:K
Last Name:BARTON
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3825 HIGHLAND AVE.
Mailing Address - Street 2:TOWER 1, SUITE 3E
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1549
Mailing Address - Country:US
Mailing Address - Phone:630-810-0358
Mailing Address - Fax:630-810-5404
Practice Address - Street 1:3825 HIGHLAND AVE.
Practice Address - Street 2:SUITE 3E
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1549
Practice Address - Country:US
Practice Address - Phone:630-810-0358
Practice Address - Fax:630-810-5404
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2009-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036068503207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036068503OtherSTATE OF ILLINOIS LICENSE
IL036068503Medicaid
IL2201686OtherBCBS OF IL
IL036068503OtherSTATE OF ILLINOIS LICENSE
IL2201686OtherBCBS OF IL