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
Fax: (312) 996-4238
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922162551 NPPES
Illinois MEDICAID 036055479

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