DR. SIRIRAT R BANUCHI M.D
NPI 1164529087
Dermatology - Procedural Dermatology in Chicago, IL

Active since September 20, 2006
4849 N MILWAUKEE AVE, CHICAGO, IL 60630(773) 545-3123(773) 545-3886 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sirirat R Banuchi M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SIRIRAT R BANUCHI M.D (NPI 1164529087) is an individual procedural dermatology provider in Chicago, Illinois, licensed in Illinois (36046827) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1164529087
Entity TypeIndividualFemale
Primary Taxonomy207NS0135X
Provider Legal NameDR. SIRIRAT R BANUCHICredential: M.D
Location Address4849 N MILWAUKEE AVEChicago, IL 60630-5100
Mailing Address4849 N Milwaukee AveChicago, IL 60630-5100 · (773) 545-3123 · Fax (773) 545-3886
Fax(773) 545-3886
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1164529087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License Licensed in IL · 36046827
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
4849 N MILWAUKEE AVE, Chicago, IL 60630

Other Identifiers 2

Medicare UPIND12523IL
Medicare ID-Type Unspecified469290IL

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
4849 N MILWAUKEE AVE
CHICAGO, IL 60630
Dentist (General Practice)
4849 N MILWAUKEE AVE, SUITE 505
CHICAGO, IL 60630
Counselor (Mental Health)
4849 N MILWAUKEE AVE
CHICAGO, IL 60630
Counselor (Mental Health)
4849 N MILWAUKEE AVE
CHICAGO, IL 60630
Physical Therapist
4849 N MILWAUKEE AVE, SUITE 405A
CHICAGO, IL 60630
Dermatology
4849 N MILWAUKEE AVE, SUITE 203
CHICAGO, IL 60630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sirirat Banuchi's NPI number?

The NPI number for Sirirat Banuchi is 1164529087. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Sirirat Banuchi located?

Sirirat Banuchi practices at 4849 N Milwaukee Ave, Chicago, IL 60630. The listed phone number is (773) 545-3123.

What is Sirirat Banuchi's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

When was this NPI record last updated?

The NPPES record for Sirirat Banuchi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.