Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 209001671 | IL |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 209001671 | IL |
NPI | 1013015387 |
---|---|
Provider Name | Barbara A. Preib |
First Address | Chicago, IL 60612-4305 |
Second Address | Chicago, IL 60612-7232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 22/04/2019 |