Banegas, Marta E

Banegas, Marta E is an sole proprietor health care provider with primary practice located at 3000 N Halsted St Suite# 505, Chicago IL 60657-5188. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Banegas, Marta E can be contacted via phone (773) 281-1044.

Contact Information

Primary practice address
3000 N Halsted St Suite# 505 Chicago IL 60657-5188
Phone: (773) 281-1044
Fax: (773) 281-1049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 036056450 Illinois

Profile Details

NPI number 1477542926
LBN Legal business name Banegas, Marta E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2005
Last updated Aug 20th, 2012 - about 12 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 1477542926 NPPES
Illinois Other 0001618837 BLUE SHIELD
Illinois Other 260048416 BLUE SHIELD
Illinois MEDICAID 036056450 BLUE SHIELD
Illinois Other 0001617631 BLUE SHIELD

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