Individual
VINOD KUMAR BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S FIRST AVE, LUH - NORTH ENT., RM. 7604, MAYWOOD, IL 60153
(708) 216-3306
(708) 216-1259
Mailing address
2160 S FIRST AVE, LUH - NORTH ENT., RM. 7604, MAYWOOD, IL 60153
(708) 216-3306
(708) 216-1259
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036043992
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36043992
—
IL
Enumeration date
12/30/2005
Last updated
04/01/2021
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