Healthcare Provider Details

I. General information

NPI: 1083929145
Provider Name (Legal Business Name): MARGARET M, BIANCOFIORI CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2010
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 E. BRUSH HILL RD. DEPARTMENT OF ANESTHESIA
ELMHURST IL
60126-5658
US

IV. Provider business mailing address

2650 RIDGE AVE. SUITE 1223
EVANSTON IL
60201-1718
US

V. Phone/Fax

Practice location:
  • Phone: 331-221-3521
  • Fax:
Mailing address:
  • Phone: 847-520-2040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number209.008247
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: