Individual
DANIEL BIANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 W CONGRESS PKWY, CHICAGO, IL 60612-3809
(312) 942-4200
Mailing address
1717 W CONGRESS PKWY, CHICAGO, IL 60612-3809
(312) 942-4200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036164004
IL
207R00000X
Internal Medicine Physician
57.246216
OH
Other
Enumeration date
06/16/2018
Last updated
06/01/2023
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