Bialowas, Stanley

Bialowas, Stanley is an sole proprietor health care provider with primary practice located at 3902 W Diversey Ave , Chicago IL 60647-1021. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bialowas, Stanley can be contacted via phone (773) 772-5610.

Contact Information

Primary practice address
3902 W Diversey Ave Chicago IL 60647-1021
Phone: (773) 772-5610
Fax: (773) 278-4211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036071723 Illinois
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036071723 Illinois

Profile Details

NPI number 1063518744
LBN Legal business name Bialowas, Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Aug 28th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063518744 NPPES
Other 0031601918 BCBS IL
MEDICAID 036071723 BCBS IL

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