Provider Demographics
NPI:1932296241
Name:BARRINGTON OBSTETRICS & GYNECOLOGY ASSOCIATES LTD
Entity Type:Organization
Organization Name:BARRINGTON OBSTETRICS & GYNECOLOGY ASSOCIATES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:DIGIULIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-381-8181
Mailing Address - Street 1:27790 W HIGHWAY 22
Mailing Address - Street 2:STE 32
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010
Mailing Address - Country:US
Mailing Address - Phone:847-381-8181
Mailing Address - Fax:847-381-0604
Practice Address - Street 1:27790 W HIGHWAY 22
Practice Address - Street 2:STE 32
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010
Practice Address - Country:US
Practice Address - Phone:847-381-8181
Practice Address - Fax:847-381-0604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0420044525174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0420044525OtherPRACTICE LICENSE NUMBER
IL04915108OtherBLUECROSS/BLUESHIELD
IL04915108OtherBLUECROSS/BLUESHIELD
IL491560Medicare ID - Type UnspecifiedBARRINGTON OFFICE
IL491580Medicare ID - Type UnspecifiedCRYSTAL LAKE OFFICE
ILD14278Medicare UPIN