Banas, Antoni

Banas, Antoni is an sole proprietor health care provider with primary practice located at 19 Heritage Dr Ste 209, Bourbonnais IL 60914-1369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Banas, Antoni can be contacted via phone (815) 932-3540.

Contact Information

Primary practice address
19 Heritage Dr Ste 209 Bourbonnais IL 60914-1369
Phone: (815) 932-3540
Fax: (815) 932-3611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036090701 Illinois

Profile Details

NPI number 1730269408
LBN Legal business name Banas, Antoni
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Sep 13th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730269408 NPPES
Illinois MEDICAID 036090701
Illinois MEDICAID 651282261

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