Provider Demographics
NPI:1043326770
Name:LENIHAN, BARBARA JEAN (DN)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:JEAN
Last Name:LENIHAN
Suffix:
Gender:F
Credentials:DN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6472 SUNNYBROOK LN
Mailing Address - Street 2:
Mailing Address - City:MACHESNEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:61115-7204
Mailing Address - Country:US
Mailing Address - Phone:815-885-8193
Mailing Address - Fax:
Practice Address - Street 1:6472 SUNNYBROOK LN
Practice Address - Street 2:
Practice Address - City:MACHESNEY PARK
Practice Address - State:IL
Practice Address - Zip Code:61115-7204
Practice Address - Country:US
Practice Address - Phone:815-885-8193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL181-000138174400000X
IL181000138172P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172P00000XOther Service ProvidersNaprapath
No174400000XOther Service ProvidersSpecialist