Individual
DR. BENJAMIN BIENIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 E HURON ST STE 1-200, CHICAGO, IL 60611-2909
(312) 503-7975
Mailing address
1400 S MICHIGAN AVE APT 2007, CHICAGO, IL 60605-3726
(630) 729-4241
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
036.143702
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036143702
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
11/23/2020
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