Active NPI
Henry M Baraniewski, M.D. LTD
- Vascular Surgery Physician
- Chicago, IL
National Provider Identifier
1801976030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- HENRY M BARANIEWSKI, M.D. LTD
- Practice address
- 3115 N Harlem Ave
Suite 202
Chicago, IL 60634-4684 - Phone
- (773) 745-1700
- Fax
- (847) 234-5800
- NPI assigned
- Oct 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Henry M Baraniewski, M.D.
- Title
- Physician/Surgeon
- Phone
- (847) 635-6490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | IL | Primary |
Addresses
Primary practice location
3115 N Harlem Ave
Suite 202
Chicago, IL 60634-4684
Mailing address
1333 Inverlieth Rd
Lake Forest, IL 60045-1539
Phone (847) 635-6490
Other names 1
- HENRY M BARANIEWSKI, M.D.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1801976030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 INVERLIETH RD",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451539",
"telephone_number": "847-635-6490",
"fax_number": "847-234-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3115 N HARLEM AVE",
"address_2": "SUITE 202",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606344684",
"telephone_number": "773-745-1700",
"fax_number": "847-234-5800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY M BARANIEWSKI, M.D. LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "BARANIEWSKI",
"authorized_official_first_name": "HENRY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN/SURGEON",
"authorized_official_telephone_number": "847-635-6490",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HENRY M BARANIEWSKI, M.D.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.