Bianconi, Laura

Bianconi, Laura is an individual health care provider with primary practice located at 4309 W Medical Center Dr Ste B310 , Mchenry IL 60050. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bianconi, Laura can be contacted via phone (815) 338-6600.

Contact Information

Primary practice address
4309 W Medical Center Dr Ste B310 Mchenry IL 60050
Phone: (815) 338-6600
Fax: (815) 759-4692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036088093 Illinois

Profile Details

NPI number 1578521175
LBN Legal business name Bianconi, Laura
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Oct 19th, 2018 - about 6 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 1578521175 NPPES
Illinois Other 036-088093 STATE LICENSE
Illinois Other 370022706 STATE LICENSE

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