Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Sirirat R Banuchi, MD

Individual provider Procedural Dermatology Physician · NPI 1164529087

Dr. Sirirat R Banuchi, MD is a Procedural Dermatology Physician in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4849 N Milwaukee Ave
Chicago, IL 60630-5100
Phone: (773) 545-3123
Fax: (773) 545-3886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 36046827 (IL)

Record details

NPI number1164529087
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 8, 2007

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