BARRY LEE CHILDRESS (NPI# 1861523243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861523243 |
| Entity Type | Individual |
| Full Name | BARRY LEE CHILDRESS |
| Credential | M.D. |
| Practice Address |
307 N Michigan Ave Suite 1014 Chicago IL 60601-5311 |
| Practice Telephone | 3127390846 |
| Practice Fax Number | 3127390847 |
| Mailing Telephone | 3127390846 |
| Mailing Fax Number | 3127390847 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2009-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
36-40422 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
307 N MICHIGAN AVE SUITE 1014 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60601-5311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457348682 | Cecilia S. Greene | Social Worker | 307 N Michigan Ave, Suite 312, Chicago, IL 60601-5311 | 2005-10-03 |
| 1053979914 | Lauren Wolf | Social Worker | 307 N Michigan Ave, Chicago, IL 60601-5311 | 2019-06-04 |
| 1417345463 | Linda F Gruenberg Do Sc | Psychiatry & Neurology | 307 N Michigan Ave, Suite 922, Chicago, IL 60601-5311 | 2014-12-29 |
| 1225260458 | Tara Gidney Thompson & Associates,pc | Psychologist | 307 N Michigan Ave, Suite 2024, Chicago, IL 60601-5311 | 2009-08-21 |
| 1912173535 | Adina Bayuk Keesom | Psychologist | 307 N Michigan Ave, Suite 914, Chicago, IL 60601-5311 | 2008-05-03 |
| 1912190901 | Carl M. Wahlstrom, Jr., M.d., Limited | Psychiatry & Neurology | 307 N Michigan Ave, Suite 1008, Chicago, IL 60601-5311 | 2007-08-22 |
| 1235339649 | Emily Edelman | Counselor | 307 N Michigan Ave, 1008, Chicago, IL 60601-5311 | 2007-07-23 |
| 1194943019 | Geralyn L Mazzone | Social Worker | 307 N Michigan Ave, 2024, Chicago, IL 60601-5311 | 2007-04-23 |
| 1083735047 | Mary Jo Jahn | Counselor | 307 N Michigan Ave, Suite 1008, Chicago, IL 60601-5311 | 2007-04-03 |
| 1316067432 | Kathryn Mary Doheny | Psychologist | 307 N Michigan Ave, Suite 802, Chicago, IL 60601-5311 | 2007-03-30 |
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| 1811527013 | Chicago Center for Advanced Dentistry | Dentist | 222 N Lasalle St 230, Chicago, IL 60601 | 2020-01-16 |
| 1689131146 | Nicole Lauren Rothman | Social Worker | 155 N Michigan Ave Ste 500a, Chicago, IL 60601 | 2019-02-20 |
| 1861976532 | Mhn Aco, LLC | Case Management | 180 N. Stetson Avenue, Suite 600-1, 180 N. Stetson Avenue, Suite 600-1, Chicago, IL 60601 | 2018-09-19 |
| 1659861409 | Alison Hirshorn LLC | Community/Behavioral Health | 155 N Michigan Ave Ste 603, Chicago, IL 60601 | 2018-05-17 |
| 1427574714 | Nicole Woodcox Bolden | Social Worker | 205 N Michigan Ave Ste 1660, Chicago, IL 60601 | 2017-08-17 |
| 1912431560 | Shannon Keleher | Social Worker | 155 N Michigan Ave Ste 209, Chicago, IL 60601 | 2017-04-19 |
| 1659828630 | Kevin Mcguyer | Physical Therapist | 151 N Michgan Ave, Chicago, IL 60601 | 2016-09-07 |
| 1598116618 | Charles Raymond Culpepper | Counselor | 155 N Michigan Ave Ste 608, Chicago, IL 60601 | 2016-06-30 |
| 1629494042 | Farah Huq | Counselor | 180 N Michigan Ave, Ste 410, Chicago, IL 60601 | 2014-03-10 |
| 1609147628 | Kathleen M Walsh | Social Worker | 155 N Michigan Av, #523, Chicago, IL 60601 | 2012-01-23 |
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| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1487032082 | Jerry Francisco Benzl | Psychiatry & Neurology | 1740 Taylor St., Chicago, IL 60612 | 2015-05-14 |
| 1326372780 | Syiha Ltd | Psychiatry & Neurology | 6321 N Leavitt, Apt 1n, Chicago, IL 60659 | 2009-10-01 |
| 1568514263 | Robert Elliot Blaik | Psychiatry & Neurology | 1642 E. 56th St., #505, Chicago, IL 60637-1973 | 2007-01-16 |
| 1891865515 | Mina K. Dulcan | Psychiatry & Neurology | 225 East Chicago Ave. Box 10, Ann & Robert H. Lurie Childrens Hospital of Chicago, Chicago, IL 60611-2605 | 2006-11-09 |
| 1124198239 | Thomas K. Cummins | Psychiatry & Neurology | 225 E Chicago Ave # 10, Chicago, IL 60611-2605 | 2006-11-08 |
| 1801994769 | Peter D Nierman | Psychiatry & Neurology | 3730 North Lake Shore Drive, #15a, Chicago, IL 60613 | 2006-09-21 |
| 1578661781 | Adrienne L. Adams | Psychiatry & Neurology | 1720 W Polk St, Mfiv- Child Psychiatry, Chicago, IL 60612-4328 | 2006-09-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.