Provider Demographics
NPI:1831366160
Name:BARKOFF, MARLA SNYDER (MD)
Entity type:Individual
Prefix:DR
First Name:MARLA
Middle Name:SNYDER
Last Name:BARKOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2720 W. 15TH STREET, OFFICE C1400
Mailing Address - Street 2:MOUNT SINAI HOSPITAL
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608
Mailing Address - Country:US
Mailing Address - Phone:773-257-5097
Mailing Address - Fax:773-257-5095
Practice Address - Street 1:2720 W 15TH ST
Practice Address - Street 2:OFFICE C1400
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-1610
Practice Address - Country:US
Practice Address - Phone:773-257-5097
Practice Address - Fax:773-257-5095
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036124300207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism