Dr GRACE CONANT BANNER is a female medical professional, specializing in Obstetrics/gynecology. She graduated in 2014 from Jefferson Medical College Of Thomas Jefferson University.
RUSH UNIVERSITY MEDICAL CENTER
1645 W JACKSON BLVD
310 GYNECOLOGIC CARE GROUP
CHICAGO
IL
606123237
Tel: 3129428120
| Npi | 1376958439 |
| Pac Id | 8224328950 |
| Professional Enrollment Id | I20180925004152 |
| Last Name | BANNER |
| First Name | GRACE |
| Middle Name | CONANT |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 2014 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
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| Organization Legal Name | RUSH UNIVERSITY MEDICAL CENTER |
| Group Practice Pac Id | 3274447180 |
| Number Of Group Practice Members | 19 |
| Line 1 Street Address | 1645 W JACKSON BLVD |
| Line 2 Street Address | 310 GYNECOLOGIC CARE GROUP |
| Marker Of Address Line 2 Suppression | |
| City | CHICAGO |
| State | IL |
| Zip Code | 606123237 |
| Phone Number | 3129428120 |
| Hospital Affiliation Ccn 1 | 140119 |
| Hospital Affiliation Lbn 1 | RUSH UNIVERSITY MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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