Jason Cordell Birnholz, M.D.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

36-065383 Issued in IL

Practice address

120 Oakbrook Ctr
Suite 408
Oak Brook, IL 60523-1806

Phone

(630) 954-5577

Fax

(630) 954-2919

NPI assigned

Apr 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diagnostic Ultrasound Consultants LTD

  • Radiology Clinic/Center
  • Oak Brook, IL
  • NPI 1740404425
  Authorized official Same address or phone

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356568695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 OAKBROOK CTR",
            "address_2": "SUITE 408",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231806",
            "telephone_number": "630-954-5577",
            "fax_number": "630-954-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OAKBROOK CTR",
            "address_2": "SUITE 408",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231806",
            "telephone_number": "630-954-5577",
            "fax_number": "630-954-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRNHOLZ",
        "first_name": "JASON",
        "middle_name": "CORDELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IL",
            "license": "36-065383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Knigge Medical SC
• Bridget Bicek, LPC
• Lindsay Bicknell-Hentges, PHD
• Konrad Artur Bienia, MD
• Kaitlin R Biondo, M.H.S., CCC-SLP
• Nicole A Blackowicz, ATC
• Sarah Block, DPT
• Kerstin Blumhardt, MSW
• Samina Bokhari, M.D.
• Dalton Jared Boland, DPT

• Radiology Clinic/Center in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Radiology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.