BANIO P KOROMA (MD) – Geriatric Medicine (Family Medicine) Physician, NPI 1962443739
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2017-05-18. Reason: Conviction of program-related crimes (mandatory; min. 5 years).
Geriatric Medicine (Family Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for BANIO P KOROMA (MD)
3319, North Elston Avenue, Avondale, Chicago, Jefferson Township, Cook County, Illinois, 60646, United States
SUITE 100
CHICAGO, IL 606185811
Phone: (773) 751-7200
Fax: (773) 583-4295
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60618)
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