Bansal, Tina C

Bansal, Tina C is an sole proprietor health care provider with primary practice located at 800 E Woodfield Rd Ste 113 , Schaumburg IL 60173-4786. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Bansal, Tina C can be contacted via phone (847) 686-6866.

Contact Information

Primary practice address
800 E Woodfield Rd Ste 113 Schaumburg IL 60173-4786
Phone: (847) 686-6866
Fax: (847) 706-9891
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036112667 Illinois

Profile Details

NPI number 1508955956
LBN Legal business name Bansal, Tina C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated May 30th, 2015 - about 9 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 1508955956 NPPES
Illinois Other 202189914 TAX IDENTIFICATION
Illinois MEDICAID 036112667 TAX IDENTIFICATION

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