Provider Demographics
NPI:1922315498
Name:AL-JINDI, PIOTR C (MD)
Entity Type:Individual
Prefix:
First Name:PIOTR
Middle Name:C
Last Name:AL-JINDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1901 W. HARRISON STREET
Mailing Address - Street 2:DEP. OF ANESTHESIOLOGY, 5 TH FLOOR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612
Mailing Address - Country:US
Mailing Address - Phone:312-864-1903
Mailing Address - Fax:312-864-9544
Practice Address - Street 1:1901 W HARRISON ST
Practice Address - Street 2:5TH FLOOR, DEPARTMENT OF ANESTHESIOLOGY
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3714
Practice Address - Country:US
Practice Address - Phone:312-864-1903
Practice Address - Fax:312-864-9544
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036121266207LP2900X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036121266OtherPHYSICIAN, LICENSE