MEDICARE: DR. PRIYA J BANSAL M.D.,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207KA0200X	Allergy Physician	036103919	IL
2	207RA0201X	Allergy & Immunology (Internal Medicine) Physician	036103919	IL
3	2080P0201X	Pediatric Allergy/Immunology Physician	036103919	IL
4	207K00000X	Allergy & Immunology Physician	036103919	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811970486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRIYA J BANSAL M.D.,

Provider Business Mailing Address
First Line	:	1187 CLEANDER CT
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-7352
Country	:	US
Telephone Number	:	630-247-4304
Fax Number	:

Provider Business Practice Location Address
First Line	:	2435 DEAN ST UNIT C
Second Line	:
City	:	SAINT CHARLES
State	:	IL
Zip	:	60175-4827
Country	:	US
Telephone Number	:	630-584-6127
Fax Number	:	630-584-6070

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2005
Last Update Date	:	02/20/2023

Similar Medicare Providers

1922047984 — MASSEY FAMILY CHIROPRACTIC & WELLNESS CENTER PC
Practice Location Address:

2435 DEAN STREET , UNIT D
ST CHARLES, IL
60175-4827

Practice Phone: 630-444-1599
Practice Fax: 630-444-1825

1275943508 — PARTNERMD ILLINOIS PC
Practice Location Address:

2435 DEAN ST , UNIT C
ST CHARLES, IL
60175-4827

Practice Phone: 804-282-2655
Practice Fax:

1992726236 — JEFFERSON URGENT CARE, LLC
Practice Location Address:

84 SOMERSET BLVD
CHARLES TOWN, WV
25414-4827

Practice Phone: 304-728-8543
Practice Fax: 304-728-8644

1457456394 — MS. LAURA SETZLER CARNEY PT
Practice Location Address:

64 SOMERSET BLVD
CHARLES TOWN, WV
25414-4827

Practice Phone: 304-728-5066
Practice Fax: 304-728-5074

1255410536 — MR. STEVEN WADE ROZIER DC
Practice Location Address:

64 SOMERSET BLVD
CHARLES TOWN, WV
25414-4827

Practice Phone: 304-728-5066
Practice Fax: 304-728-5074

1245309798 — CAPITOL REHAB
Practice Location Address:

64 SOMERSET BLVD
CHARLES TOWN, WV
25414-4827

Practice Phone: 304-728-5066
Practice Fax: 304-728-5074

Directions to “ DR. PRIYA J BANSAL M.D.,” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.