Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 036-122351 | IL |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 125048927 | IL |
NPI | 1003072661 |
---|---|
Provider Name | Patrick Joseph Barrett |
First Address | Chicago, IL 60611-3167 |
Second Address | Chicago, IL 60611-2654 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2008 |
Last Update Date | 21/10/2020 |