Healthcare Provider Details

I. General information

NPI: 1588647655
Provider Name (Legal Business Name): CATALIN SORIN BUHIMSCHI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 03/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 W TAYLOR ST SUITE 4C MC650
CHICAGO IL
60612
US

IV. Provider business mailing address

UNIV OF ILLINOIS OBGYN MC808 820 S WOOD STREET
CHICAGO IL
60612
US

V. Phone/Fax

Practice location:
  • Phone: 312-413-3890
  • Fax: 312-413-3856
Mailing address:
  • Phone: 312-996-7300
  • Fax: 312-996-4238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number041458
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number35121455
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number03614823
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: