| Doctor Name: | DR. JENESS MICHELE BARTHEL |
| NPI Number: | 1588780795 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 4301081592 |
| Business Practice Address: | 1435 N Randall Rd Ste 309 Elgin, IL - 601232300 |
| Business Phone Number: | 8477417990 |
| Business Fax Number: | 8477418099 |
| Mailing Address: | 1435 N Randall Rd, Suite 309 ELGIN |
| State: | IL |
| Postal Code: | 601232300 |
| Phone Number: | 8477417990 |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 01/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 4301081592 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |