Mbanu, Ibeawuchi

Mbanu, Ibeawuchi is an individual health care provider with primary practice located at 6345 W 79Th St , Burbank IL 60459-1133. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Mbanu, Ibeawuchi can be contacted via phone (312) 609-0300.

Contact Information

Primary practice address
6345 W 79Th St Burbank IL 60459-1133
Phone: (312) 609-0300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101239124 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101239124 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036141515 Illinois

Profile Details

NPI number 1851441349
LBN Legal business name Mbanu, Ibeawuchi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jul 12th, 2022 - about 2 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 1851441349 NPPES
Virginia Other C06778 GROUP PTAN

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