Look up the most recent NPI and PECOS records

Andrew Jay Dennis

Surgery

Allopathic & Osteopathic Physicians

1901 W Harrison St, Chicago, IL 60612-3714

PECOS Enrollment

This provider is enrolled in PECOS as ANDREW DENNIS.

Based on the most recent information from CMS, provider Andrew Jay Dennis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1194842005
Provider Type
Individual
Full Name
Dennis, Andrew Jay
Title
Dr.
Credential
D.O.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/23/2007
Last Updated
4/22/2021

Contact Information

Practice Location

1901 W Harrison St, Chicago, IL 60612-3714

(312) 864-2730

Unlisted Fax

Mailing Location

1900 W Polk St, Rm 1300, Chicago, IL 60612-3723

(312) 864-2730

(312) 864-9169

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License 036-103279 Illinois
Code 2086S0127X	Description Surgery Allopathic & Osteopathic Physicians	License 036-103297 Illinois
Code 2086S0102X	Description Surgery Allopathic & Osteopathic Physicians	License 036-103279 Illinois

Andrew Jay Dennis

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Chalman, Mckenna Jay

Cross-Najafi, Arthur

Mendez, Logan Carl

Rabin, Erik Elias

Joseph, Kimberly

Forouzan, Eli

Forchetti, Mason Vincent

Weber, James August

Williams, Cassidy

Altimari, Marc