Individual
MICHAEL HINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2320 E 93RD ST, CHICAGO, IL 60617-3983
(773) 967-2000
Mailing address
2320 E 93RD ST, CHICAGO, IL 60617-3983
(773) 967-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036050214
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618831
BCBS PROVIDER NUMBER
IL
05
—
036050214
—
IL
01
—
P00215593
RR MEDICARE
IL
Enumeration date
07/12/2006
Last updated
08/05/2009
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