BRIDGET S BANACH

CHICAGO, IL
NPI1205190576
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IL  125061495)
Additional Taxonomies207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IL  036137292)
Enumeration Date2012-07-01
Last Update Date2024-10-17
Business Address
BRIDGET S 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 S BANACH M.D. Ph.D.
5841 S MARYLAND AVE RM P-615 MC6101
CHICAGO, IL 60637-1447
Phone number: 773-834-7708