Provider Demographics
NPI:1124447412
Name:ENCOUNTER MEDICAL GROUP, P.C.
Entity type:Organization
Organization Name:ENCOUNTER MEDICAL GROUP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTHWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-613-4750
Mailing Address - Street 1:610 S MAPLE AVE
Mailing Address - Street 2:SUITE 3400
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60304-1091
Mailing Address - Country:US
Mailing Address - Phone:708-613-4750
Mailing Address - Fax:708-613-4754
Practice Address - Street 1:610 S MAPLE AVE
Practice Address - Street 2:SUITE 3400
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60304-1091
Practice Address - Country:US
Practice Address - Phone:708-613-4750
Practice Address - Fax:708-613-4754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILA-4410-0002-A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health