Dr. Andrew Jay Dennis, D.O.
Surgery in Chicago, IL. Individual provider (NPI-1).
NPI number1194842005
StatusActive
Last updated in NPPESApr 22, 2021
Details
- NPI
- 1194842005
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andrew Jay Dennis
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2007
- Certification date
- Apr 22, 2021
- Last updated
- Apr 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 036-103279 | IL | Yes |
| 2086S0102X | Surgery, Surgical Critical Care | 036-103279 | IL | |
| 2086S0127X | Surgery, Trauma Surgery | 036-103297 | IL |
Practice location
1901 W Harrison StChicago, IL 60612-3714
Phone 312-864-2730
Mailing address
1900 W Polk StRm 1300
Chicago, IL 60612-3723
Phone 312-864-2730 · Fax 312-864-9169
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