| Maria Nida V. Barino Md Ltd | |
|
685 W Boughton Rd Bolingbrook IL 60440-1752 | |
| (630) 759-1052 | |
| (630) 759-1233 |
| Full Name | Maria Nida V. Barino Md Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 685 W Boughton Rd, Bolingbrook, Illinois |
| Authorized Official Name and Position | Maria Nida V Barino (PRESIDENT) |
| Authorized Official Contact | 6309147720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Nida V. Barino Md Ltd 685 W Boughton Rd Bolingbrook IL 60440-1752 Ph: (630) 759-1052 | Maria Nida V. Barino Md Ltd 685 W Boughton Rd Bolingbrook IL 60440-1752 Ph: (630) 759-1052 |
| NPI Number | 1528387099 |
|---|---|
| Provider Enumeration Date | 05/24/2010 |
| Last Update Date | 03/14/2023 |
| Medicare PECOS PAC ID | 2668665399 |
|---|---|
| Medicare Enrollment ID | O20101026000599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528387099 | NPI | - | NPPES |
| 036089667 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 336051420 (Illinois) | Primary |
| Provider Name | Maria Nida V Barino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255363305 PECOS PAC ID: 4082806450 Enrollment ID: I20101005000339 |
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