Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 036058244 | IL |
NPI | 1033194972 |
---|---|
Provider Name | Dr. Ruth J Barsky |
First Address | Oak Brook, IL 60523-1806 |
Second Address | Oak Brook, IL 60523-1806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2005 |
Last Update Date | 14/10/2008 |