Provider Demographics
NPI:1154421030
Name:BARBER, DONNA MARIE (DDS)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:BARBER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 E WASHINGTON
Mailing Address - Street 2:SUITE 2033
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602
Mailing Address - Country:US
Mailing Address - Phone:312-782-4068
Mailing Address - Fax:312-782-6509
Practice Address - Street 1:25 E WASHINGTON
Practice Address - Street 2:SUITE 2033
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602
Practice Address - Country:US
Practice Address - Phone:312-782-4068
Practice Address - Fax:312-782-6509
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223P0300X, 1223P0300X, 1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics