Individual provider · Type 1 NPI

Donald E. Banicki, MD

Diagnostic Radiology Physician · Rockford, IL

NPI number 1295999225 Active

Practice location

6426 Old Hunters Run
Rockford, IL 61114-7812

Call (815) 633-5995 Map

Fax (815) 633-5995

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X3604438 (IL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1295999225

Donald E. Banicki, MD's National Provider Identifier is 1295999225, issued on Jul 18, 2008. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Rockford, IL. The record was last updated on Jul 18, 2008.