Bansa Medical Associates Inc

LBN: Bansa Medical Associates Inc
Bansa Medical Associates Inc is an health care organization with primary practice located at 1609 Sibley Blvd , Calumet City IL 60409-2217. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Bansa Medical Associates Inc can be contacted via phone (708) 933-0872, or through Bansa, Emmanuel via phone (708) 933-0872.

Contact Information

Primary practice address
1609 Sibley Blvd Calumet City IL 60409-2217
Phone: (708) 933-0872
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bansa, Emmanuel Doctor of Medicine (MD)
Phone: (708) 933-0872

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036053245 Illinois

Profile Details

NPI number 1326563966
LBN Legal business name Bansa Medical Associates Inc
DBA Doing business as
Authorized official Bansa, Emmanuel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326563966 NPPES
Illinois MEDICAID 036053245

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