Dr BANU PRASAD MYNENI is a male medical professional, specializing in Family Medicine. He graduated in 2015 from West Virginia School Of Osteopathic Medicine.
RUSH OAK PARK PHYSICIANS GROUP ELMWOOD PARK
7734 W N AVE
ELMWOOD PARK
IL
607074124
Tel: 7086603900
| Npi | 1780082693 |
| Pac Id | 3274893623 |
| Professional Enrollment Id | I20180205001696 |
| Last Name | MYNENI |
| First Name | BANU |
| Middle Name | PRASAD |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | RUSH OAK PARK PHYSICIANS GROUP ELMWOOD PARK |
| Group Practice Pac Id | 9234393117 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 7734 W N AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ELMWOOD PARK |
| State | IL |
| Zip Code | 607074124 |
| Phone Number | 7086603900 |
| Hospital Affiliation Ccn 1 | 140063 |
| Hospital Affiliation Lbn 1 | RUSH OAK PARK HOSPITAL |
| Hospital Affiliation Ccn 2 | 140049 |
| Hospital Affiliation Lbn 2 | WEST SUBURBAN MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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