1679798565 NPI number — MICHAEL VICTOR BIRMAN M.D.

Table of content: MICHAEL VICTOR BIRMAN M.D. (NPI 1679798565)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679798565 NPI number — MICHAEL VICTOR BIRMAN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BIRMAN
Provider First Name:
MICHAEL
Provider Middle Name:
VICTOR
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679798565
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/17/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
515 W ALGONGUIN RD.,
Provider Second Line Business Mailing Address:
HAND SURGERY ASSOCIATES, S.C.
Provider Business Mailing Address City Name:
ARLINGTON HEIGHTS
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60005
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-956-0099
Provider Business Mailing Address Fax Number:
847-956-0433

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
515 W ALGONGUIN RD.,
Provider Second Line Business Practice Location Address:
HAND SURGERY ASSOCIATES, S.C.
Provider Business Practice Location Address City Name:
ARLINGTON HEIGHTS
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-956-0099
Provider Business Practice Location Address Fax Number:
847-956-0433
Provider Enumeration Date:
04/16/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X , with the licence number:  4301085714 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207XS0106X , with the licence number: 4301085714 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)