Chandler Barnes, M.D.
Individual provider Active NPI Emergency Medicine Physician · Stickney, IL
NPI 1013938554 · NPPES record last updated Jul 15, 2011
Key facts
- NPI
- 1013938554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 036073028 (IL)
- Practice address
- 6701 W. 40TH St.
Stickney, IL 60402 - Phone
- (708) 788-9100
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Rush Medical College of Rush University, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stickney Public Health District
Practice addresses (Care Compare)
5635 State Rd
Burbank, IL 60459-2051
Phone (708) 237-8918
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090512000575 | IL | Practitioner - Emergency Medicine |
2668521196 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stickney Public Health District | Current |
Accepting new patients | |
| Emergency Room Care Providers, S.C. | Emergency Medicine | Past |
Accepting new patients |
Locations
5635 State Rd
Burbank, IL 60459
Phone (708) 237-8918
6721 40th St
Stickney, IL 60402
Phone (708) 788-9100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036073028 | IL | Yes |
Addresses
Primary practice location
6701 W. 40TH St.
Stickney, IL 60402
Mailing address
5635 State Rd
Burbank, IL 60459-2051
Phone (708) 424-9200
Other providers in Stickney, IL
- Ahva Care of Stickney, LLC
- American Drug Stores LLC
- Ana M Ayala
- Elvira Becker
- Janine Bednarz
- Nestor Diaz
- Kinzy Kanisha Frizzle
- Desiree Gonzalez
All providers in Stickney, IL · Emergency Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.