Basic Information
| Provider Information | |||||||||
| NPI: | 1942655667 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARNETT | ||||||||
| FirstName: | JONATHAN | ||||||||
| MiddleName: | ALBERT | ||||||||
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| Credential: | MD, MHA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2650 RIDGE AVE. | ||||||||
| Address2: | IM HOSPITALISTS STE 4206 | ||||||||
| City: | EVANSTON | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8475701010 | ||||||||
| FaxNumber: | 8477335108 | ||||||||
| Practice Location | |||||||||
| Address1: | 2650 RIDGE AVE. | ||||||||
| Address2: | IM HOSPITALISTS STE 4206 | ||||||||
| City: | EVANSTON | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8475701010 | ||||||||
| FaxNumber: | 8477335108 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2016 | ||||||||
| LastUpdateDate: | 07/18/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/07/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 036158446 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 125074761 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 390200000X | BARNEJA093JE | WA | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208M00000X | 036158446 | IL | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.