DRS. Banuchi and Banuchi, S.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0360468271 Issued in IL

Legal business name

DRS. BANUCHI AND BANUCHI, S.C.

Practice address

4849 N Milwaukee Ave
Suite 203
Chicago, IL 60630-5100

Phone

(773) 545-3123

Fax

(773) 545-3886

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sirirat Banuchi, M.D.

Title

President

Phone

(773) 545-3123

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Ellen S Brull, M.D.

  • Family Medicine Physician
  • Niles, IL
  • NPI 1043396419
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1720099500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 N MILWAUKEE AVE",
            "address_2": "SUITE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606305100",
            "telephone_number": "773-545-3123",
            "fax_number": "773-545-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 N MILWAUKEE AVE",
            "address_2": "SUITE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606305100",
            "telephone_number": "773-545-3123",
            "fax_number": "773-545-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. BANUCHI AND BANUCHI, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "BANUCHI",
        "authorized_official_first_name": "SIRIRAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-545-3123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "0360468271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1615456",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Drozdzewicz, DNP, FNP-BC
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• DRS Farby Levin and Associates LTD
• DRS Valdes and Kulekowskis Podiatry PC
• DRS. Carag LTD
• DRS. Carter, Garnett, Dalton & Lin, S.C.
• DRS. Dudley, Robinson, James, LTD.
• DRS. Kollman & Furusho, Dentistry for Kids, LTD.
• DRS. Lamorena LTD

• Dermatology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.