Provider Demographics
NPI:1891820585
Name:BARRINGTON FAMILY HEALTHCARE, SC
Entity Type:Organization
Organization Name:BARRINGTON FAMILY HEALTHCARE, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-382-9150
Mailing Address - Street 1:400 FOX GLEN CT
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-1824
Mailing Address - Country:US
Mailing Address - Phone:847-382-9150
Mailing Address - Fax:
Practice Address - Street 1:400 FOX GLEN CT
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-1824
Practice Address - Country:US
Practice Address - Phone:847-382-9150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL490330Medicare ID - Type UnspecifiedGROUP NUMBER