Individual
DR. TODD W BANNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 W HIGHWAY 22, BARRINGTON, IL 60010-1919
(847) 842-4488
Mailing address
2125 W BALMORAL AVE, CHICAGO, IL 60625-1005
(773) 531-0674
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36099334
IL
Other
Enumeration date
08/16/2006
Last updated
12/17/2021
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