Provider Demographics
NPI:1336962505
Name:BISKUP, SASKIA DIRK (MD, PHD)
Entity type:Individual
Prefix:
First Name:SASKIA
Middle Name:DIRK
Last Name:BISKUP
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2430 N HALSTED ST STE 110
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-0312
Mailing Address - Country:US
Mailing Address - Phone:312-783-5225
Mailing Address - Fax:
Practice Address - Street 1:2430 N HALSTED ST STE 110
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-0312
Practice Address - Country:US
Practice Address - Phone:312-783-5225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36457207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory MedicineGroup - Single Specialty