NPI 1609656313

Malik Martiz Barnes

Practitioner Adult Care Home Facility Crete, IL

Practice location

Address: 3494 Fairway Dr # 0, Crete, IL 60417-1000
Phone: (708) 466-7322

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Illinois →

Registry record

NPI: 1609656313
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2023
Record last updated: 2 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.