YAROSLAW BANDURA MD SC – NPI #1710148291
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

YAROSLAW BANDURA MD SC is a provider located in CHICAGO, IL. NPPES has assigned the NPI number 1710148291 to YAROSLAW BANDURA MD SC on June 18, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 18 years ago on Jun 27, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for YAROSLAW BANDURA MD SC below.

NPI Profile for
YAROSLAW BANDURA MD SC

NPI Number
1710148291
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
YAROSLAW BANDURA MD SC
Primary location
2222 W DIVISION ST
SUITE 250
CHICAGO, IL 60622
Phone: (773) 489-0512 Fax: (773) 489-0512
Mailing address
2141 W AUGUSTA BLVD
CHICAGO, IL 60622
Phone: (773) 489-0512 Fax: (773) 489-0512
Organization Subpart
Yes - YAROSLAW BANDURA MD SC is subpart of another organization.
Authorized Official
YAROSLAW BANDURA
PRESIDENT
Phone: (773) 489-0512
Updated
Identifiers

Identifiers for YAROSLAW BANDURA MD SC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036058978
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
IL 036058978

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.