Willie Banks, GED
Willie Banks, GED is a Parenteral & Enteral Nutrition Supplies (DME) in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
5921 S Carpenter StChicago, IL 60621-1433
Phone: (773) 456-7533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Parenteral & Enteral Nutrition Supplies (DME) (primary) | Taxonomy 332BP3500X |
|---|
Record details
| NPI number | 1982356192 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | GED |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2022 |
| Last updated in NPPES | January 19, 2022 |
| Certification date | January 19, 2022 |
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