Provider Demographics
NPI:1922320902
Name:EDWARD W. PIROK, M.D., PH.D., L.L.C.
Entity Type:Organization
Organization Name:EDWARD W. PIROK, M.D., PH.D., L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:PIROK
Authorized Official - Suffix:III
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:312-291-4271
Mailing Address - Street 1:737 N MICHIGAN AVE
Mailing Address - Street 2:SUITE 2240
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2615
Mailing Address - Country:US
Mailing Address - Phone:312-291-4271
Mailing Address - Fax:312-291-4271
Practice Address - Street 1:737 N MICHIGAN AVE
Practice Address - Street 2:SUITE 2240
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2615
Practice Address - Country:US
Practice Address - Phone:312-291-4271
Practice Address - Fax:312-291-4271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361226412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty