Individual
SHAMITA V BANSORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3825 HIGHLAND AVE, TOWER 1 SUITE 2F, DOWNERS GROVE, IL 60515-1552
(630) 852-3762
(630) 852-4087
Mailing address
3825 HIGHLAND AVE, TOWER 1 SUITE 2F, DOWNERS GROVE, IL 60515-1552
(630) 852-3762
(630) 852-4087
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036107104
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107104
—
IL
Enumeration date
06/27/2006
Last updated
01/31/2022
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