Provider Demographics
NPI:1902859036
Name:MARWAH, BIRINDER S (MD)
Entity Type:Individual
Prefix:DR
First Name:BIRINDER
Middle Name:S
Last Name:MARWAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 HAMILTON LN
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1753
Mailing Address - Country:US
Mailing Address - Phone:773-592-7235
Mailing Address - Fax:630-655-9098
Practice Address - Street 1:2266 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3718
Practice Address - Country:US
Practice Address - Phone:773-281-3670
Practice Address - Fax:773-281-3697
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036065742207RH0002X
IL036-065742207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036065742Medicaid
ILD16224Medicare UPIN
ILK36961Medicare PIN