Provider Demographics
NPI:1932315280
Name:BARGER, JAN R (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:JAN
Middle Name:R
Last Name:BARGER
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 N WHEATON AVE
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-4133
Mailing Address - Country:US
Mailing Address - Phone:630-665-6848
Mailing Address - Fax:630-260-8879
Practice Address - Street 1:618 N WHEATON AVE
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-4133
Practice Address - Country:US
Practice Address - Phone:630-665-6848
Practice Address - Fax:630-260-8879
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant