Bieniarz, Andre
Bieniarz, Andre is an individual health care provider with primary practice located at 820 S. Wood St. M/C 808, Chicago IL 60612-7313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Bieniarz, Andre can be contacted via phone (312) 996-7300.Contact Information
Primary practice address
820 S. Wood St. M/C 808
Chicago IL 60612-7313
Phone: (312) 996-7300
Fax: (312) 996-4238
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 036-055479 | Illinois |
Profile Details
NPI number | 1922162551 |
---|---|
LBN Legal business name | Bieniarz, Andre |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 20th, 2006 |
Last updated | Oct 23rd, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922162551 | NPPES |
Illinois | MEDICAID | 036055479 |
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