Organization Active NPI

Marta Banegas, M.D.

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1740201060
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MARTA BANEGAS, M.D.
Practice address
917 N la Salle Dr
Chicago, IL 60610-3204
Phone
(773) 767-8283
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marta Banegas, M.D.
Title
President
Phone
(773) 767-8283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X IL Primary

Addresses

Primary practice location

917 N la Salle Dr
Chicago, IL 60610-3204

Mailing address

PO Box 388320
Chicago, IL 60638-8320
Phone (776) 767-4600

Other identifiers 1

IdentifierTypeStateIssuer
1618837OtherILBLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740201060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388320",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606388320",
            "telephone_number": "776-767-4600",
            "fax_number": "773-767-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 N LA SALLE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103204",
            "telephone_number": "773-767-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTA BANEGAS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANEGAS",
        "authorized_official_first_name": "MARTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-767-8283",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1618837",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.