Individual
DR. LIZA BUNTING PIWONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5375
Mailing address
613 W SURF ST APT 2F, CHICAGO, IL 60657-9514
(773) 307-9474
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036116956
IL
207P00000X
Emergency Medicine Physician
Primary
M6550
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0054PT
BCBS
TX
05
—
190087001
—
TX
Enumeration date
02/19/2007
Last updated
08/21/2015
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