Provider Demographics
NPI:1548033723
Name:BARHAM, IOANA LAURA
Entity type:Individual
Prefix:
First Name:IOANA
Middle Name:LAURA
Last Name:BARHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8815 W GOLF RD APT 10O
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-5710
Mailing Address - Country:US
Mailing Address - Phone:773-875-8434
Mailing Address - Fax:
Practice Address - Street 1:8815 W GOLF RD APT 10O
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-5710
Practice Address - Country:US
Practice Address - Phone:773-875-8434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-31
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No175F00000XOther Service ProvidersNaturopath
No175T00000XOther Service ProvidersPeer Specialist
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
No374U00000XNursing Service Related ProvidersHome Health Aide