Zina Sholji Banna, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036119135 Issued in IL

Practice address

7100 Carpenter Rd
Skokie, IL 60077-3279

Phone

(847) 673-5166

Fax

(847) 673-5636

NPI assigned

Jul 30, 2007

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

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zina.banna.p1@direct.lakecountyil.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Lake

  • Public Health or Welfare Agency
  • Waukegan, IL
  • NPI 1013920750
  Medicare reassignment NPD
• County of Lake

  • Federally Qualified Health Center (FQHC)
  • Waukegan, IL
  • NPI 1619101292
  NPD
• County of Lake

  • Federally Qualified Health Center (FQHC)
  • Round Lake, IL
  • NPI 1639588254
  NPD

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1487844098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 CARPENTER RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773279",
            "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": "7100 CARPENTER RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773279",
            "telephone_number": "847-673-5166",
            "fax_number": "847-673-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNA",
        "first_name": "ZINA",
        "middle_name": "SHOLJI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036119135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Balzano, MS
• Stacey Ellen Ban, MD
• Michelle L Bandy, M.D.
• Andrew Harrison Bank, MD
• Haley Lynne Banks, NP
• Karla Lund Baptiste, LPC
• David Barack, D.D.S.
• Logan Barber, PA-C
• Claire Elyse Bareiss, PA-C
• Breanna Noelle Barker

• Family Medicine Physician in Skokie, IL
• Providers in Skokie, 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 Sep 16, 2008; 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.