Individual provider · NPI-1

Elisa Maria Bianchi, MD

Colon & Rectal Surgery · Chicago, IL

NPI number1689017303
StatusActive
Last updated in NPPESOct 25, 2023

Details

NPI
1689017303
Entity type
Individual (NPI-1)
Name
Elisa Maria Bianchi
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 11, 2013
Certification date
Oct 25, 2023
Last updated
Oct 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208C00000X Colon & Rectal Surgery036.163602ILYes

Practice location

1740 W Taylor St
Chicago, IL 60612-7232

Phone 312-996-2061

Mailing address

1740 W Taylor St
Chicago, IL 60612-7232

Phone 312-996-2061

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