Individual
DR. ANNA K BANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6033 W IRVING PARK RD, CHICAGO, IL 60634-2521
(773) 777-4767
(773) 777-0328
Mailing address
6033 W IRVING PARK RD, CHICAGO, IL 60634-2521
(773) 777-4767
(773) 777-0328
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036087494
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087494
—
IL
01
—
2232882
BCBS
IL
Enumeration date
06/19/2006
Last updated
01/11/2021
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