Provider Demographics
NPI:1174643365
Name:IRA J PIEL MD FACP SC
Entity Type:Organization
Organization Name:IRA J PIEL MD FACP SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PIEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-855-9400
Mailing Address - Street 1:1425 N HUNT CLUB RD
Mailing Address - Street 2:301
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-2632
Mailing Address - Country:US
Mailing Address - Phone:847-855-9400
Mailing Address - Fax:847-855-9500
Practice Address - Street 1:1425 N HUNT CLUB RD
Practice Address - Street 2:301
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-2632
Practice Address - Country:US
Practice Address - Phone:847-855-9400
Practice Address - Fax:847-855-9500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty