Provider Demographics
NPI:1821415464
Name:BARRINGTON PHYSICAL MEDICINE LLC
Entity Type:Organization
Organization Name:BARRINGTON PHYSICAL MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:CROSSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-382-3194
Mailing Address - Street 1:303 N NORTHWEST HWY
Mailing Address - Street 2:STE 2
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-3396
Mailing Address - Country:US
Mailing Address - Phone:847-382-3194
Mailing Address - Fax:847-382-1426
Practice Address - Street 1:303 N NORTHWEST HWY
Practice Address - Street 2:STE 2
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-3396
Practice Address - Country:US
Practice Address - Phone:847-382-3194
Practice Address - Fax:847-382-1426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-20
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012190111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty