Gustavo M. Banti, M.D., LTD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

036063412 Issued in IL

Legal business name

GUSTAVO M. BANTI, M.D., LTD

Practice address

302 Randall Rd
Suite 306
Geneva, IL 60134-4209

Phone

(630) 377-1368

Fax

(630) 377-7514

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Gustavo Miguel Banti, M.D.NPI 1710987904

Title

President

Phone

(630) 377-1368

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gustavo Miguel Banti, M.D.

  • Urology Physician
  • Hialeah, FL
  • NPI 1710987904
  NPD Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1346371192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD",
            "address_2": "SUITE 306",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344209",
            "telephone_number": "630-377-1368",
            "fax_number": "630-377-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD",
            "address_2": "SUITE 306",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344209",
            "telephone_number": "630-377-1368",
            "fax_number": "630-377-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVO M. BANTI, M.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "BANTI",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-377-1368",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "IL",
            "license": "036063412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036063412",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4500628",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Guadagno, MD
• Allison Guimaray, LCSW
• Delaney B Guinan
• Lisandra Guiraldelli, QMHP
• Srisudha Reddy Gundala, M.D.
• April Gutierrez, PT
• Esmeralda Gutierrez, MA ABA
• Magdaleno Aaron Gutierrez, MD, JD
• Vanessa Vazquez Guzman, DO
• H&E Brighter Days, LLC

• Urology Physician in Geneva, IL
• Providers in Geneva, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.