Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bethany Banks, LISCENEDCOSMETOLOGI

Individual provider Prosthetist · NPI 1215455852

Bethany Banks, LISCENEDCOSMETOLOGI is a Prosthetist in North Riveride, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2017
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Practice location Address checks out

9161 W Cermak Rd
North Riveride, IL 60546
Phone: (708) 853-9230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence 012.007533 (IL)

Record details

NPI number1215455852
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISCENEDCOSMETOLOGI
Sole proprietorYes
NPI enumeratedSeptember 4, 2017
Last updated in NPPESJuly 21, 2022