Jonathan Michael Barnhouse, RN
Individual provider Active NPI Registered Nurse · Aledo, IL
NPI 1124989769 · NPPES record last updated Nov 22, 2025
Key facts
- NPI
- 1124989769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 041550013 (IL)
- Practice address
- 409 NW 9TH Ave
Aledo, IL 61231-1258 - Phone
- (309) 721-2282
- NPI assigned
- Nov 22, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041550013 | IL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041550013 | IL | Yes |
Addresses
Primary practice location
409 NW 9TH Ave
Aledo, IL 61231-1258
Mailing address
PO Box 81
Joy, IL 61260-0081
Other providers in Aledo, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.