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

Keith Ryan Banaszak

Individual provider Counselor · NPI 1518621812

Keith Ryan Banaszak is a Counselor in Elk Grove Village, Illinois. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1001 Rohlwing Rd
Elk Grove Village, IL 60007-3217
Phone: (847) 502-8368
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1518621812
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 24, 2021
Last updated in NPPESOctober 24, 2021
Certification dateOctober 24, 2021

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