Organization
KIRSCHENBAUM DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BRIAN BIELINSKI M.D. (OWNER)
(708) 636-3767
Entity
Organization
Contact information
Practice address
2740 W FOSTER AVE, SUITE# 305, CHICAGO, IL 60625-3510
(773) 271-4442
(773) 271-4474
Mailing address
16105 S LAGRANGE ROAD, ORLAND PARK, IL 60467-5503
(708) 636-3767
(708) 590-7148
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036035278
IL
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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