Individual
DR. DANIEL JOSEPH BIERBAUM HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 95TH ST, EMERGENCY DEPARTMENT, EVERGREEN PARK, IL 60805
(708) 422-6200
Mailing address
2800 95TH ST, EMERGENCY MEDICINE DEPARTMENT, EVERGREEN PARK, IL 60805
(773) 792-7921
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.149403
IL
207P00000X
Emergency Medicine Physician
125-069340
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2016
Last updated
09/19/2019
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