Individual
DR. ANDREW JAY DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-2730
Mailing address
1900 W POLK ST, RM 1300, CHICAGO, IL 60612-3723
(312) 864-2730
(312) 864-9169
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-103279
IL
2086S0102X
Surgical Critical Care Physician
036-103279
IL
2086S0127X
Trauma Surgery Physician
036-103297
IL
Other
Enumeration date
03/23/2007
Last updated
04/22/2021
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