Provider Demographics
NPI:1104050798
Name:BARNES, KAREN J
Entity type:Individual
Prefix:MISS
First Name:KAREN
Middle Name:J
Last Name:BARNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16551 OXFORD DR
Mailing Address - Street 2:
Mailing Address - City:MARKHAM
Mailing Address - State:IL
Mailing Address - Zip Code:60428-4773
Mailing Address - Country:US
Mailing Address - Phone:847-529-8983
Mailing Address - Fax:
Practice Address - Street 1:16551 OXFORD DR
Practice Address - Street 2:
Practice Address - City:MARKHAM
Practice Address - State:IL
Practice Address - Zip Code:60428-4773
Practice Address - Country:US
Practice Address - Phone:847-529-8983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist