Pandelis Banias, M.D., S.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PANDELIS BANIAS, M.D., S.C.

Practice address

800 Austin St
East Tower, Suite 369
Evanston, IL 60202-3439

Phone

(847) 316-4455

Fax

(847) 316-4456

NPI assigned

May 15, 2007

Last updated

Nov 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pandelis D Banias, M.D.

Title

Owner

Phone

(847) 316-4455

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1427264456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "EAST TOWER, SUITE 369",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-316-4455",
            "fax_number": "847-316-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "EAST TOWER, SUITE 369",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-316-4455",
            "fax_number": "847-316-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANDELIS BANIAS, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "BANIAS",
        "authorized_official_first_name": "PANDELIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-316-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL BLUE SHIELD ID",
            "identifier": "01625523",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Palafox, PHARMD
• Lisa Marie Palazzolo, DPT, ATC
• Zoe Palko
• Nicole Renee Palmer, MD, MPH
• Neil Panchal, M.D.
• Antoinette Panganiban
• Therese Panis
• Jennifer C. Panning, PSY.D.
• Afreen Naz Papa, MD
• Houri Papazian, APN-CNP

• Medical Specialty Clinic/Center in Evanston, IL
• Providers in Evanston, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.