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NPI Code Detail

MEDICARE: DR. PIL BIN IM M.D.

MEDICARE:  DR. PIL BIN  IM  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician036130328IL

General Provider Information

NPI Number : 1508008350
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PIL BIN IM M.D.
Provider Business Mailing Address
First Line : 3525 S MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60653-1019
Country : US
Telephone Number : 312-945-4010
Fax Number : 312-945-4032
Provider Business Practice Location Address
First Line : 3525 S MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60653-1019
Country : US
Telephone Number : 312-945-4010
Fax Number : 312-945-4032
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2009
Last Update Date : 04/26/2021

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Directions to “ DR. PIL BIN IM M.D.” Practice Location

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