Individual
ANTONIO BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 W HARRISON ST, POB 250, CHICAGO, IL 60612-3841
(312) 942-6163
(312) 563-2096
Mailing address
1725 W HARRISON ST, POB 250, CHICAGO, IL 60612-3841
(312) 942-6163
(312) 563-2096
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MFC1639
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MFC1639
FL
Other
Enumeration date
01/07/2009
Last updated
02/10/2015
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