Bansal, Priya J

Bansal, Priya J is an individual health care provider with primary practice located at 2435 Dean St Unit C , Saint Charles IL 60175-4827. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Bansal, Priya J can be contacted via phone (630) 584-6127.

Contact Information

Primary practice address
2435 Dean St Unit C Saint Charles IL 60175-4827
Phone: (630) 584-6127
Fax: (630) 584-6070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 036103919 Illinois
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X 036103919 Illinois
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 036103919 Illinois
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 036103919 Illinois

Profile Details

NPI number 1811970486
LBN Legal business name Bansal, Priya J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Feb 20th, 2023 - about last year

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 1811970486 NPPES
Illinois MEDICAID 036103919

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