Individual
DR. CHRISTOPHER D BANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3231 EUCLID AVE, SUITE 201, BERWYN, IL 60402-3471
(708) 783-2055
(708) 783-2181
Mailing address
13011 S 104TH AVE STE 100, PALOS PARK, IL 60464-1508
(708) 478-3600
(708) 478-3552
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036105428
IL
207RI0011X
Interventional Cardiology Physician
Primary
036105428
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621208
BLUECROSS BLUE SHIELD
IL
05
—
036105428
—
IL
01
—
1508810086
GROUP NPI
IL
01
—
236550
MEDICARE GROUP
IL
01
—
236551
MEDICARE GROUP
IL
01
—
416810
MEDICARE GROUP
IL
01
—
CD8033
RAILROAD MEDICARE GROUP PTAN NUMBER
IL
01
—
P00319870
MEDICARE RAILROAD COOK
IL
Enumeration date
04/14/2006
Last updated
09/04/2020
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