Individual
DR. GRACE C BANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE., LABOR & DELIVERY, EVANSTON, IL 60201-1718
(847) 570-2222
(847) 570-1846
Mailing address
2650 RIDGE AVE. SUITE 1223, EVANSTON, IL 60201-1718
(475) 702-0408
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036.143081
IL
207V00000X
Obstetrics & Gynecology Physician
125065779
IL
208M00000X
Hospitalist Physician
Primary
036143081
IL
Other
Enumeration date
06/27/2014
Last updated
11/04/2024
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