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General NPI Number Information
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NPI Number | 1245309814
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Entity Type | Organization
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Legal Business Name | FRANCIS E BANICH MDSC
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 340 WEST BUTTERFIELD ROAD SUITE 1D
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City | ELMHURST
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State | IL
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Zip | 60126
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Country | US
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Telephone | 630-279-5701
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Fax | 630-279-5144
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Provider Business Mailing Address
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Address Line | 340 WEST BUTTERFIELD ROAD SUITE 1D
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City | ELMHURST
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State | IL
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Zip | 60126
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Country | US
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Telephone | 630-279-5701
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Fax | 630-279-5144
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Authorized Official
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Title or Position | PRESIDENT OF CORPORATION
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Name | FRANCIS EDWARD BANICH
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Credential | MD
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Telephone | 630-279-5701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | IL
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