Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 36097986 | IL |
Y | 208600000X | Surgeon | 36097986 | IL |
N | 2082S0105X | Plastic Hand Surgeon | 36097986 | IL |
NPI | 1619993268 |
---|---|
Provider Name | Dr. Nabil Antoine Barakat |
First Address | Elmhurst, IL 60126-5626 |
Second Address | Elmhurst, IL 60126-5626 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 09/10/2007 |