Individual
ANDRE BIENIARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 S. WOOD ST., M/C 808, CHICAGO, IL 60612-7313
(312) 996-7300
(312) 996-4238
Mailing address
820 S. WOOD ST., M/C 808, CHICAGO, IL 60612-7313
(312) 996-7300
(312) 996-4238
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
036-055479
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055479
—
IL
Enumeration date
12/20/2006
Last updated
10/23/2013
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