Kirschenbaum Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036035278 Issued in IL

Legal business name

KIRSCHENBAUM DERMATOLOGY LLC

Practice address

2740 W Foster Ave
Suite# 305
Chicago, IL 60625-3510

Phone

(773) 271-4442

Fax

(773) 271-4474

NPI assigned

Aug 4, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth Brian Bielinski, M.D.NPI 1457306649

Title

Owner

Phone

(708) 636-3767

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth B Bielinski, M.D.

  • Dermatology Physician
  • Aspen, CO
  • NPI 1457306649
  NPD (past) Authorized official
• Mona Yogesh Gandhi, MD

  • Dermatology Physician
  • St. Charles, IL
  • NPI 1942481940
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1194279463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16105 S LAGRANGE ROAD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675503",
            "telephone_number": "708-636-3767",
            "fax_number": "708-590-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "SUITE# 305",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253510",
            "telephone_number": "773-271-4442",
            "fax_number": "773-271-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRSCHENBAUM DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "BIELINSKI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-636-3767",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036035278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirpal Corporation
• Anna Kirsanov
• Jodi Heather Kirsch, D.C.
• Rachel Kirsch, MD
• Therese Kirsch, M.D.
• M Barry Kirschenbaum, MD
• Alexander Kirschner
• Barbara S. Kirschner, M.D.
• Doris A Kirschner, MA
• Kristi Kirschner, MD

• Dermatology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.