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Michael Banghart
NPI 1336362631 · on the registry since 2007
Practice
- Address
- 2501 W Washington Blvd Ste 401
Chicago, IL 60612 - Phone
- (773) 645-8900
- Organisation at this address
- Renaissance Social Services, Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois