DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SIRIRAT R BANUCHI, M.D

Active Sole Proprietor

Procedural Dermatology · CHICAGO, IL

Registration Details

NPI Number
1164529087
Provider Type
Individual
Gender
Female
NPI Issued
Sep 20, 2006 (19.585307301608 yrs)
Last Updated
Jul 8, 2007
License
36046827 (IL)
Sole Proprietor
Yes

Practice Information

Address
4849 N MILWAUKEE AVE
CHICAGO, IL, 606305100
Browse IL providers · Browse ZIP 60630
Phone
7735453123
Fax
7735453886
Primary Specialty
Procedural Dermatology
207NS0135X

Other Procedural Dermatology Providers in CHICAGO, IL

Name Credential NPI
DR. CHARLES ZUGERMAN M.D. 1134227259
JAMES STEVEN FEINBERG MD 1043307390
DR. VALERIA FUGALI MD 1538313705
DR. DAVID ZACHARY OTHMAN M.D., M.H.S.A 1760741938
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.