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DR. PRIYA J BANSAL M.D.,

Allergy

Saint Charles, Illinois

Provider NPI: 1811970486

Provider Information:
DR. PRIYA J BANSAL M.D.,


Practice Location:
2900 FOXFIELD RD STE 203  SAINT CHARLES, IL 60174 US
Tel: 630-884-5704  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207KA0200XPhysicians
Allergy & Immunology
Allergy
IL036103919
N207RA0201XPhysicians
Internal Medicine
IL036103919
N2080P0201XPhysicians
Pediatrics
IL036103919
Y207K00000XPhysicians
Allergy & Immunology
IL036103919

Other Provider Identifiers:

IssuerNumberStateType
036103919IL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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