Individual
LAURA K. BIANCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 CENTRAL ST, SUITE 615, EVANSTON, IL 60201-1777
(847) 657-1900
(847) 570-0758
Mailing address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201-1718
(847) 570-1206
(847) 570-1248
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036-117679
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-117679
IL STSTAE LIC
IL
Enumeration date
03/12/2007
Last updated
02/10/2021
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