Organization
GUSTAVO M. BANTI, M.D., LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO MIGUEL BANTI M.D. (PRESIDENT)
(630) 377-1368
Entity
Organization
Contact information
Practice address
302 RANDALL RD, SUITE 306, GENEVA, IL 60134-4209
(630) 377-1368
(630) 377-7514
Mailing address
302 RANDALL RD, SUITE 306, GENEVA, IL 60134-4209
(630) 377-1368
(630) 377-7514
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036063412
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036063412
—
IL
01
—
4500628
BCBS
IL
Enumeration date
03/07/2007
Last updated
02/08/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up