Provider Demographics
NPI:1356351258
Name:AMSLER, BARBARA E (MD)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:E
Last Name:AMSLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2971 W ALGONQUIN RD
Mailing Address - Street 2:ATTN: K BOODE STE 103
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-9406
Mailing Address - Country:US
Mailing Address - Phone:847-458-1879
Mailing Address - Fax:847-458-2079
Practice Address - Street 1:2971 W ALGONQUIN RD
Practice Address - Street 2:SUITE 103
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-9406
Practice Address - Country:US
Practice Address - Phone:815-704-5433
Practice Address - Fax:847-669-1228
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-073547207R00000X
IL036.0375472083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036073547Medicaid
ILE33043Medicare UPIN
IL110040510Medicare ID - Type Unspecified