Healthcare Provider Details

I. General information

NPI: 1730683699
Provider Name (Legal Business Name): PIOTR BABINSKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2018
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

676 N SAINT CLAIR ST STE 2100
CHICAGO IL
60611-2993
US

IV. Provider business mailing address

211 E ONTARIO ST RM 628
CHICAGO IL
60611-3468
US

V. Phone/Fax

Practice location:
  • Phone: 312-695-1800
  • Fax: 312-695-4741
Mailing address:
  • Phone: 213-926-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036157252
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number036157252
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: