| Bancaps | |
|
24b Professional Park Dr Maryville IL 62062-5856 | |
| (618) 310-0085 | |
| Not Available |
| Full Name | Bancaps |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 24b Professional Park Dr, Maryville, Illinois |
| Authorized Official Name and Position | Rahul Bansal (CEO & MEDICAL DIRECTOR) |
| Authorized Official Contact | 6183100085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bancaps 24b Professional Park Dr Maryville IL 62062-5856 Ph: (618) 310-0085 | Bancaps 24b Professional Park Dr Maryville IL 62062-5856 Ph: (618) 310-0085 |
| NPI Number | 1689299836 |
|---|---|
| Provider Enumeration Date | 06/13/2020 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689299836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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