Organization Active NPI

Henry M Baraniewski, M.D. LTD

  • Vascular Surgery Physician
  • Chicago, IL
National Provider Identifier
1801976030
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
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

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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. Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.