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KEERTHI BANSAL NPI 1053814863


NPI Information

NPI: 1053814863
Provider Name: KEERTHI BANSAL
Classification: Allergy & Immunology - 207K00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
600 S PAULINA ST STE 403
CHICAGO, IL
ZIP 60612
Phone: (312) 942-5495
Get Directions

Keerthi Bansal is an allergy immunology in Chicago, IL. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. Keerthi Bansal NPI is 1053814863. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 S PAULINA ST STE 403
CHICAGO, IL
ZIP 60612-806
Phone: (312) 942-5495

The NPI 1053814863 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/18/2018 and was last updated on 6/6/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & Immunology036.160246ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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