14D1101966 CLIA NUMBER - ENSIGN MEDICAL INC D/B/A RICHARD BARTON MD

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Laboratory Demographics

CLIA Number: 14D1101966

Facility Name: ENSIGN MEDICAL INC D/B/A RICHARD BARTON MD

Facility Address:
3825 HIGHLAND AVE STE 3E
DOWNERS GROVE, IL
ZIP 60515
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Facility Phone Number: 630 810-0358

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1134361066

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	14D1101966
LAB Type	Physician Office
Facility Name	ENSIGN MEDICAL INC D/B/A RICHARD BARTON MD
Street	3825 HIGHLAND AVE STE 3E
City	DOWNERS GROVE
State	IL
ZIP	60515
Phone	630 810-0358
CertificateType	4
CertificateEffectiveDate	7/8/2023
CertificateExpirationDate	7/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024