Provider Demographics
NPI:1649527383
Name:DR PIERGIES, LTD
Entity type:Organization
Organization Name:DR PIERGIES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTONI
Authorized Official - Middle Name:A
Authorized Official - Last Name:PIERGIES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-848-1525
Mailing Address - Street 1:9725 WOODS DR
Mailing Address - Street 2:UNIT 1804
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-4441
Mailing Address - Country:US
Mailing Address - Phone:847-848-1525
Mailing Address - Fax:
Practice Address - Street 1:9725 WOODS DR
Practice Address - Street 2:UNIT 1804
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-4441
Practice Address - Country:US
Practice Address - Phone:847-848-1525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-13
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.069721208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty