BRIDGET BANACH

CHICAGO, IL
NPI1205190576
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: IL  125061495)
Enumeration Date2012-07-01
Last Update Date2015-12-29
Business Address
BRIDGET BANACH M.D. PH.D.
5841 S MARYLAND AVE RM P-615 MC6101
CHICAGO, IL 60637-1447
Phone number: 773-834-7708
Mailing Address
BRIDGET BANACH M.D. PH.D.
5841 S MARYLAND AVE RM P-615 MC6101
CHICAGO, IL 60637-1447
Phone number: 773-834-7708
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