Provider Demographics
NPI:1801884101
Name:BARCZYK, JANET (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:BARCZYK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2454 E DEMPSTER ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-5315
Mailing Address - Country:US
Mailing Address - Phone:847-635-5000
Mailing Address - Fax:847-635-5037
Practice Address - Street 1:2454 E DEMPSTER ST
Practice Address - Street 2:SUITE 305
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-5315
Practice Address - Country:US
Practice Address - Phone:847-635-5000
Practice Address - Fax:847-635-5037
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL336073429207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036073429Medicaid
ILIL1846Medicare PIN