Individual
M BARRY KIRSCHENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2740 W FOSTER AVE, CHICAGO, IL 60625-3500
(773) 271-4442
(708) 590-7148
Mailing address
2740 W FOSTER AVE, SUITE#305, CHICAGO, IL 60625-3500
(773) 271-4442
(708) 590-7108
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036035278
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01616147
BCBS
IL
05
—
036035278
—
IL
01
—
071753949
RAILROAD MEDICARE
IL
Enumeration date
05/04/2006
Last updated
07/19/2016
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