Banio P Koroma in Chicago - Geriatric Medicine
Banio P Koroma - NPI 1962443739
Banio P Koroma is a Geriatric Medicine in Chicago, Illinois. Banio P Koroma practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Banio P Koroma is 1962443739. The last update date is 2013-05-08.
Banio P Koroma's current location address is 3319 N Elston Ave, Chicago, Illinois. You can contact this provider via phone number 7737517200 and fax number 7735834295. The mailing address for Banio P Koroma is 3319 N Elston Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Banio P Koroma |
|---|---|
| Address | 3319 N Elston Ave, Chicago, Illinois |
| Phone Number | 7737517200 |
| Fax Number | 7735834295 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962443739 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2013-05-08 |
Provider Mailing Address Detail
| Address | 3319 N Elston Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606185811 |
| Phone Number | 7737517200 |
| Fax Number | 7735834295 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | 036-069938 |
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Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
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What is the unique identifier code issued to Banio P Koroma by the Centers for Medicare & Medicaid Services?
The Banio P Koroma has been assigned the NPI (National Provider Identifier) 1962443739. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Banio P Koroma?
The Banio P Koroma is situated at 3319 N Elston Ave, in the city of Chicago, state of IL, with the zip code 606185811.
What is the Banio P Koroma's specialty and taxonomy code?
The Banio P Koroma's specialty is Geriatric Medicine, and the corresponding taxonomy code is 207Qg0300X.
On what date was the 1962443739 assigned to Banio P Koroma?
The Banio P Koroma was issued its 1962443739 on 2006-06-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Banio P Koroma last refreshed?
The information related to the Banio P Koroma, including its address, specialty, and other relevant details, was last updated on 2013-05-08.