Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207N00000X | Dermatology | | 036059380 | ILLINOIS | No |
| 2 | 207N00000X | Dermatology | | 036073084 | ILLINOIS | No |
| 3 | 207N00000X | Dermatology | | 036102194 | ILLINOIS | No |
| 4 | 207N00000X | Dermatology | | 036111358 | ILLINOIS | No |
| 5 | 207NI0002X | Dermatology | Clinical & Laboratory Dermatological Immunology | 036059380 | ILLINOIS | No |
| 6 | 207NI0002X | Dermatology | Clinical & Laboratory Dermatological Immunology | 036073084 | ILLINOIS | No |
| 7 | 207NI0002X | Dermatology | Clinical & Laboratory Dermatological Immunology | 036102194 | ILLINOIS | No |
| 8 | 207NI0002X | Dermatology | Clinical & Laboratory Dermatological Immunology | 036111358 | ILLINOIS | No |
| 9 | 207NS0135X | Dermatology | Procedural Dermatology | 036073084 | ILLINOIS | No |
| 10 | 207NS0135X | Dermatology | Procedural Dermatology | 036102194 | ILLINOIS | No |
| 11 | 207NS0135X | Dermatology | Procedural Dermatology | 036111358 | ILLINOIS | No |
| 12 | 207NS0135X | Dermatology | Procedural Dermatology | 036062019 | ILLINOIS | No |
| 13 | 207R00000X | Internal Medicine | | 036062967 | ILLINOIS | No |
| 14 | 207NS0135X | Dermatology | Procedural Dermatology | 036059380 | ILLINOIS | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | K21893 | MEDICARE ID-TYPE UNSPECIFIED | ILLINOIS | FORRESTAL MEDICARE PIN# |
| 2 | 1114957156 | OTHER | ILLINOIS | DR. BARSKY NPI |
| 3 | 1578552246 | OTHER | | FORRESTAL NPI# |
| 4 | C25911 | MEDICARE UPIN | ILLINOIS | |
| 5 | I43875 | MEDICARE UPIN | ILLINOIS | |
| 6 | 110222581 | MEDICARE ID-TYPE UNSPECIFIED | ILLINOIS | FORRESTAL RR MEDICARE PIN |
| 7 | K21894 | MEDICARE ID-TYPE UNSPECIFIED | ILLINOIS | SDG PROVIDER# |
| 8 | D13565 | OTHER | ILLINOIS | ARNOLD ROBIN, MD MC UPIN |
| 9 | 31601993 | OTHER | ILLINOIS | BCBS GROUP PIN# |
| 10 | 1770587206 | OTHER | | GLAZER NPI |
| 11 | K21672 | MEDICARE ID-TYPE UNSPECIFIED | ILLINOIS | MSR PROVIDER# |
| 12 | B54301 | MEDICARE UPIN | ILLINOIS | |
| 13 | 212426 | MEDICARE ID-TYPE UNSPECIFIED | ILLINOIS | GROUP MC # |
| 14 | E18712 | MEDICARE ID-TYPE UNSPECIFIED | ILLINOIS | FORRESTAL UPIN |
| 15 | D13565 | MEDICARE UPIN | ILLINOIS | |
| 16 | C43141 | MEDICARE UPIN | ILLINOIS | |
| 17 | K21895 | MEDICARE ID-TYPE UNSPECIFIED | ILLINOIS | KMK PROVIDER# |
| 18 | K21892 | MEDICARE ID-TYPE UNSPECIFIED | ILLINOIS | MHF PROVIDER# |
| 19 | K21893 | MEDICARE ID-TYPE UNSPECIFIED | ILLINOIS | MF PROVIDER# |
| 20 | 14D0886350 | OTHER | ILLINOIS | CLIA# |
| 21 | E18712 | MEDICARE UPIN | ILLINOIS | |
| 22 | H16889 | MEDICARE UPIN | ILLINOIS | |