Provider Demographics
NPI:1386796605
Name:BUGNER, BARBARA (RN)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:BUGNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20772 N FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLNSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60069-9664
Mailing Address - Country:US
Mailing Address - Phone:847-520-4087
Mailing Address - Fax:847-520-4964
Practice Address - Street 1:20772 N FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:LINCOLNSHIRE
Practice Address - State:IL
Practice Address - Zip Code:60069-9664
Practice Address - Country:US
Practice Address - Phone:847-520-4087
Practice Address - Fax:847-520-4964
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health