Provider Demographics
NPI:1255124491
Name:BARKATAKI, ANAND
Entity type:Individual
Prefix:MR
First Name:ANAND
Middle Name:
Last Name:BARKATAKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:278 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:HAMPSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60140-9618
Mailing Address - Country:US
Mailing Address - Phone:630-597-5054
Mailing Address - Fax:
Practice Address - Street 1:278 N STATE ST
Practice Address - Street 2:
Practice Address - City:HAMPSHIRE
Practice Address - State:IL
Practice Address - Zip Code:60140-9618
Practice Address - Country:US
Practice Address - Phone:630-597-5054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist