Bansal, Vinod Kumar

Bansal, Vinod Kumar is an individual health care provider with primary practice located at 2160 S First Ave Luh - North Ent., Rm. 7604, Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bansal, Vinod Kumar can be contacted via phone (708) 216-3306.

Contact Information

Primary practice address
2160 S First Ave Luh - North Ent., Rm. 7604 Maywood IL 60153
Phone: (708) 216-3306
Fax: (708) 216-1259
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036043992 Illinois

Profile Details

NPI number 1164409033
LBN Legal business name Bansal, Vinod Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Apr 1st, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164409033 NPPES
Illinois MEDICAID 36043992

Popular Providers