1265438576

Everything you always wanted to know about BARNHART T RACHEL MD 1 TURNER A RACHEL but were afraid to ask.

BARNHART T RACHEL MD 1 TURNER A RACHEL

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Provider Last Name Provider Middle Name Provider First Name Provider Credential Provider Other Name Type Code Provider Other Last Name Provider Other Middle Name Provider Other First Name
BARNHART T RACHEL MD 1 TURNER A RACHEL
Gender:
Female
Enumeration date:
2005-06-22
Last update date:
2017-06-28
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
036112037 Medicaid none IL

Taxonomies

Taxonomy State License Number Primary?
208000000X Pediatrics IL 036112037 Y

Phone Numbers

Type Number
Mailing Address Telephone Number (217) 238-5345
Practice Location Address Telephone Number 2172385345
Mailing Address Fax Number 2172385348
Practice Location Address Fax Number 2172385348

Addresses

Type Address City State Postal Country
Mailing Address 200 RICHMOND AVE. EAST STE. 4 MATTOON IL 61938 IL
Practice Location Address 200 RICHMOND AVE. EAST STE MATTOON IL 61938 IL

Other NPI Records that share an address

NPI Name Address State City
1285737213 THAIN, ROBERT
Individual
200 RICHMOND AVE. EAST IL MATTOON