MRS. AUDRA K EISIN-BANAZEK L.C.P.C
NPI 1760013023
Counselor - Professional in Chicago, IL

Active since January 27, 2020
1309 W COLUMBIA AVE, CHICAGO, IL 60626(773) 720-2911 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Audra K Eisin-banazek L.c.p.c NPPES

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

MRS. AUDRA K EISIN-BANAZEK L.C.P.C (NPI 1760013023) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.008801) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1760013023
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. AUDRA K EISIN-BANAZEKCredential: L.C.P.C
Location Address1309 W COLUMBIA AVEChicago, IL 60626-4325
Mailing Address1309 W Columbia AveChicago, IL 60626-4325 · (847) 217-8911
Sole ProprietorYes
Enumeration DateJanuary 27, 2020
NPI 1760013023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180.008801
1309 W COLUMBIA AVE, Chicago, IL 60626

Other Providers at the Same Location NPPES

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

Counselor (Professional)
1309 W COLUMBIA AVE
CHICAGO, IL 60626

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 Audra Eisin-banazek's NPI number?

The NPI number for Audra Eisin-banazek is 1760013023. It was assigned to this individual provider in the NPPES registry on January 27, 2020.

Where is Audra Eisin-banazek located?

Audra Eisin-banazek practices at 1309 W Columbia Ave, Chicago, IL 60626. The listed phone number is (773) 720-2911.

What is Audra Eisin-banazek's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Audra Eisin-banazek was last updated on January 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.