Healthcare Provider Details

I. General information

NPI: 1891857348
Provider Name (Legal Business Name): ANDREA K BIAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 W CHICAGO AVE 3RD FLOOR
CHICAGO IL
60642-5449
US

IV. Provider business mailing address

833 W CHICAGO AVE FL 3
CHICAGO IL
60642-5449
US

V. Phone/Fax

Practice location:
  • Phone: 312-733-8900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number036099974
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number036099974
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: