Provider Demographics
NPI:1538329677
Name:BIENIA, KONRAD ARTUR (MD)
Entity type:Individual
Prefix:
First Name:KONRAD
Middle Name:ARTUR
Last Name:BIENIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1439 S PRAIRIE AVE
Mailing Address - Street 2:UNIT D
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-3032
Mailing Address - Country:US
Mailing Address - Phone:224-436-1800
Mailing Address - Fax:
Practice Address - Street 1:1200 HARGER RD
Practice Address - Street 2:SUITE 408
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1805
Practice Address - Country:US
Practice Address - Phone:630-581-6511
Practice Address - Fax:630-645-6404
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125054837207R00000X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine