Provider Demographics
NPI:1912002163
Name:BARTON, THOMAS B (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:B
Last Name:BARTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 GLENVIEW AVE
Mailing Address - Street 2:DEPARTMENT OF ANESTHESIA
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-2432
Mailing Address - Country:US
Mailing Address - Phone:847-480-3852
Mailing Address - Fax:847-480-3712
Practice Address - Street 1:718 GLENVIEW AVE
Practice Address - Street 2:DEPARTMENT OF ANESTHESIA
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-2432
Practice Address - Country:US
Practice Address - Phone:847-480-3852
Practice Address - Fax:847-480-3712
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207L00000X, 207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Not Answered207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF05629Medicare UPIN