Eleanor Resane Banzon, M.D.
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Chicago, IL
NPI 1104123546 · NPPES record last updated Jan 13, 2026
Key facts
- NPI
- 1104123546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- C1-0010468 (DE)
- Practice address
- 500 E 51St St
Chicago, IL 60615-2400 - Phone
- (312) 572-2000
- NPI assigned
- Feb 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 46
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blessing Hospital
Deaconess Hospital, Inc.
Practice addresses (Care Compare)
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
519 Harriet St
Evansville, IN 47710-1715
Phone (812) 450-7720
Hospital & facility affiliations
- Deaconess Hospital Inc
- Blessing Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in IL, NY, NJ, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160908000297 | IL | Practitioner - Internal Medicine | 0749416022 | Reassigns benefits to 4 organizations |
| I20210714002136 | NY | Practitioner - Internal Medicine |
0749416022 | Reassigns benefits to 1 organization |
| I20221106000037 | NJ | Practitioner - Internal Medicine | 0749416022 | Reassigns benefits to 2 organizations |
| I20250212002247 | IN | Practitioner - Critical Care (Intensivists) | 0749416022 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0010468 | DE | MD | Critical Care Medicine (Internal Medicine) Physician |
| 036.139820 | IL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Hospital, Inc | Critical Care Medicine | Current |
Accepting new patients |
| Cep America Illinois Intensivists | Critical Care Medicine | Current |
Accepting new patients |
| Deaconess Hospital, Inc | Current | Accepting new patients | |
| Blessing Hospital | Current |
Accepting new patients | |
| Cep America Illinois Intensivists | Critical Care Medicine | Current | Accepting new patients |
| Jersey Intensivist Associates LLC | Critical Care Medicine | Current |
Accepting new patients |
| Nicholas H. Noyes Memorial Hospital | Current |
Accepting new patients | |
| Blessing Hospital | Current |
Accepting new patients | |
| Cook County | Current |
Accepting new patients | |
| Cep America Illinois Intensivists | Critical Care Medicine | Current |
Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Hospitalist Physicians of New Jersey PA | Current |
Accepting new patients | |
| Cook County | Current |
Accepting new patients | |
| Hospitalist Physicians of Illinois, P.C. | Critical Care Medicine | Current |
Accepting new patients |
| Deaconess Hospital Inc | Current |
Accepting new patients | |
| Beth Israel Medical Center | Past | Accepting new patients | |
| West Tennessee Healthcare Hospitalists Inc | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
1005 Broadway St
Quincy, IL 62301
4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311
519 Harriet St
Evansville, IN 47710
Phone (812) 423-9699
4015 Gateway Blvd
#2121
Newburgh, IN 47630
Phone (812) 450-7720
300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460
65 James St
Edison, NJ 08820
Phone (732) 321-7010
66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
73 Buffalo St
Ste 100
Canandaigua, NY 14424
111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100
Interoperability endpoints
- https://fhir.blessinghospital.com/R4/open-Prod
- ebanzon134367@direct.carenet.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | C1-0010468 | DE | Yes |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036.139820 | IL |
Addresses
Primary practice location
500 E 51St St
Chicago, IL 60615-2400
Mailing address
PO Box 820
New York, NY 10025-0820
Phone (917) 397-0555
Other practice location 1
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104123546 | Medicaid | DE | |
| P01257423 | Other | DE | RAIL ROAD MEDICARE |
| 5323029 00 | Medicaid | MD |
Other providers in Chicago, IL
- Sirirat R Banuchi
- Bryan Banuelos Ramirez
- Cesiah Banuelos
- Daniel Carlos Banuelos
- Nuvia Banuelos
- Rhett Enriquez Banzon
- Theresa Banzuela
- Benjamin A. Baptist
- Brian D Baptist
- Guilherme Baptista de Faria
All providers in Chicago, IL · Critical Care Medicine (Internal Medicine) Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.