Individual
NOAH WARREN BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1801 W TAYLOR ST STE 1E, CHICAGO, IL 60612-4795
(312) 355-1625
(312) 355-1515
Mailing address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 355-1625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-139899
IL
207RH0000X
Hematology (Internal Medicine) Physician
036-139899
IL
207RH0003X
Hematology & Oncology Physician
Primary
036139899
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
03/22/2013
Last updated
08/31/2023
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