Individual
VIJAYTA G BANSAL-KAPURIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 E COOK AVE, SUITE 100, LIBERTYVILLE, IL 60048-2060
(847) 816-6335
(847) 816-6355
Mailing address
1860 W WINCHESTER RD STE 106, LIBERTYVILLE, IL 60048-5312
(847) 865-7680
(847) 816-6355
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036133425
IL
2084N0400X
Neurology Physician
MT191028
PA
Other
Enumeration date
09/06/2007
Last updated
10/26/2023
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