Individual
MARTA E BANEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3000 N HALSTED ST, SUITE# 505, CHICAGO, IL 60657-5188
(773) 281-1044
(773) 281-1049
Mailing address
3000 N HALSTED ST, SUITE# 505, CHICAGO, IL 60657-5188
(773) 281-1044
(773) 281-1049
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036056450
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001617631
IL BLUE SHIELD
IL
01
—
0001618837
BLUE SHIELD
IL
05
—
036056450
—
IL
01
—
260048416
RAILROAD MEDICARE
—
Enumeration date
10/18/2005
Last updated
08/20/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us