MEDICARE: DR. BIRINDER S MARWAH MD

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
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	036065742	IL
2	207R00000X	Internal Medicine Physician	036-065742	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902859036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BIRINDER S MARWAH MD

Provider Business Mailing Address
First Line	:	30 HAMILTON LN
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1753
Country	:	US
Telephone Number	:	773-592-7235
Fax Number	:	630-655-9098

Provider Business Practice Location Address
First Line	:	2266 N LINCOLN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-3718
Country	:	US
Telephone Number	:	773-281-3670
Fax Number	:	773-281-3697

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	03/31/2021

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