Banzon, Eleanor Resane

Banzon, Eleanor Resane is an sole proprietor health care provider with primary practice located at 500 E 51St St , Chicago IL 60615-2400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. Banzon, Eleanor Resane can be contacted via phone (312) 572-2000.

Contact Information

Primary practice address
500 E 51St St Chicago IL 60615-2400
Phone: (312) 572-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036.139820 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X C1-0010468 Delaware

Profile Details

NPI number 1104123546
LBN Legal business name Banzon, Eleanor Resane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2011
Last updated Jan 25th, 2024 - about 11 months 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 1104123546 NPPES
Delaware MEDICAID 1104123546
Delaware Other P01257423
Delaware MEDICAID 5323029 00

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