Bielinski Dermatology Group LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BIELINSKI DERMATOLOGY GROUP LLC

Practice address

108 N White St
Frankfort, IL 60423-2020

Phone

(708) 636-3767

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth B Bielinski, MD

Title

Owner

Phone

(708) 636-3767

Specialties & licenses 1

Addresses

Tax ID family

Bielinski Dermatology Group LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Bielinski Dermatology Group, LLC

  • Non-Pharmacy Dispensing Site
  • Orland Park, IL
  • NPI 1083563712
  NPD tax ID
• Bielinski Dermatology Group, LLC

  • Non-Pharmacy Dispensing Site
  • Evergreen Park, IL
  • NPI 1609725340
  NPD tax ID

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306066923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16105 S LA GRANGE RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675503",
            "telephone_number": "708-636-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N WHITE ST",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232020",
            "telephone_number": "708-636-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIELINSKI DERMATOLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIELINSKI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-636-3767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Frankfort, IL
• Providers in Frankfort, 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 22, 2020; 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.