George A Banuelos, MD is a
Obstetrics & Gynecology physician based in Woodridge, Illinois. George A Banuelos is licensed to practice in Illinois (license number 036070501) and his current practice location is 3540 Seven Bridges Dr Ste 200, Woodridge, Illinois. He can be reached at his office (for appointments etc.) via phone at
(630) 810-0777.
NPI number for George A Banuelos is 1396815601 and his current mailing address is 3540 Seven Bridges Dr Ste 200, Woodridge, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396815601.
Physician's Profile
| Full Name | George A Banuelos |
|---|
| Gender | Male |
|---|
| Speciality | Obstetrics & Gynecology |
|---|
| Location | 3540 Seven Bridges Dr Ste 200, Woodridge, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396815601
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 12/20/2021
Medical Identifiers
Medical identifiers for George A Banuelos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396815601 | NPI | - | NPPES |
| 036070501 | Other | IL | STATE LICENSE NUMBER |
| 2201686 | Other | IL | BCBS IL |
| 036070501 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207V00000X | Obstetrics & Gynecology | 036070501 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. George A Banuelos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
George A Banuelos, MD 3540 Seven Bridges Dr Ste 200, Woodridge, IL 60517-1222 Ph: (630) 810-0777 | George A Banuelos, MD 3540 Seven Bridges Dr Ste 200, Woodridge, IL 60517 Ph: (630) 810-0777 |
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