ANDRE BIENIARZ


Address: 820 S. Wood St., M/c 808, Chicago, IL 60612-7313
Phone: 3129967300

ANDRE BIENIARZ (NPI# 1922162551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922162551
Entity Type Individual
Full Name ANDRE BIENIARZ
Credential M.D.
Practice Address 820 S. Wood St.
M/c 808
Chicago
IL 60612-7313
Practice Telephone 3129967300
Practice Fax Number 3129964238
Mailing Telephone 3129967300
Mailing Fax Number 3129964238
Enumeration Date 2006-12-20
Last Update Date 2013-10-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VM0101X Obstetrics & Gynecology
Specialization: Maternal & Fetal Medicine
036-055479 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036055479 05

Office Location

Street Address 820 S. WOOD ST.
M/C 808
City CHICAGO
State IL
Zip Code 60612-7313

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1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/c 850, Chicago, IL 60612 2020-04-20
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Taxonomy Information

Taxonomy Code 207VM0101X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Maternal & Fetal Medicine

Taxonomy Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023413382 Yvon Jeune Nazon Obstetrics & Gynecology 2315 E 93rd St Ste 309, Chicago, IL 60617 2014-10-29
1669761177 Bethany Treas Stetson Obstetrics & Gynecology Northwestern Medical Group, 250 E Superior/03-2304, Chicago, IL 60611 2011-04-05
1679549299 Nawar Hatoum Obstetrics & Gynecology 2507 N Halsted St, Chicago Maternal Fetal Medicine, S.c, Chicago, IL 60614-9267 2006-02-23
1346224797 Xavier F Pombar Obstetrics & Gynecology 58 E Walton St Ste 3, Chicago, IL 60611-2292 2005-11-30
1265879209 Aswathi Jayaram Obstetrics & Gynecology 1801 W Taylor St, Chicago, IL 60612-4795 2013-05-31
1205271632 Ayesha Hasan Obstetrics & Gynecology 1801 W Taylor St # Mc650, Chicago, IL 60612-4795 2013-04-29
1619225174 Chicago Ob-gyn Ultrasound Sc Obstetrics & Gynecology 2825 N Halsted St, 2nd Floor, Chicago, IL 60657-5105 2012-08-15
1992067094 Joana Lopes Perdigao Obstetrics & Gynecology 5841 S Maryland Ave, Mc 2050, Chicago, IL 60637-1447 2012-06-13
1417213794 Lena Braginsky Obstetrics & Gynecology 5841 S Maryland Ave, Mc 2050, Chicago, IL 60637-1447 2012-04-11
1396011763 Nevert Badreldin Obstetrics & Gynecology 675 N Saint Clair St Ste 14-200, Chicago, IL 60611-5966 2012-03-29
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City CHICAGO
Zip Code 60612

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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