Individual
DR. KENNETH B BIELINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 E DURANT AVE APT 113, ASPEN, CO 81611-2613
(815) 919-9233
Mailing address
450 E WATERSIDE DR UNIT 3107, CHICAGO, IL 60601-4733
(815) 919-9233
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036-070977
IL
207N00000X
Dermatology Physician
BIEL0051223
CO
207ND0101X
MOHS-Micrographic Surgery Physician
036-070977
IL
207ND0900X
Dermatopathology Physician
036-070977
IL
207NS0135X
Procedural Dermatology Physician
036-070977
IL
Other
Enumeration date
05/24/2006
Last updated
11/26/2024
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