Maria Lourdes Geraldine Banaad-Omiotek, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036110773 Issued in IL

Practice address

6201 W Touhy Ave
Chicago, IL 60646-1100

Phone

(847) 673-5166

Fax

(847) 673-5636

NPI assigned

Mar 7, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1023085172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461100",
            "telephone_number": "847-673-5166",
            "fax_number": "847-673-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461100",
            "telephone_number": "847-673-5166",
            "fax_number": "847-673-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANAAD-OMIOTEK",
        "first_name": "MARIA LOURDES",
        "middle_name": "GERALDINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036110773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110773",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001623791",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adebisi Bamidele, MD
• Gurtej Singh Bamrah, PHARMD, BCPS
• Daniel Robert Bamrick-Fernandez, MD, MBA
• Jong-Wook Ban, M.D.
• Suyeun Ban
• Bridget S Banach, M.D. PH.D.
• Israel Banadera, PHARMD
• Nada Banafa
• Monica Kelly Banales, MD
• Anna K Banas, MD

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.