person
Jared Joseph Banaszak
Psychiatric/Mental Health Nurse Practitioner in Chicago, Illinois
NPI 1396414165

Jared Joseph Banaszak is a Psychiatric/Mental Health Nurse Practitioner based in Chicago, IL and is specialized in Psychiatric/Mental Health. Jared Joseph Banaszak practices in Chicago, IL. The NPI Number for Jared Joseph Banaszak is 1396414165 and holds a License No. 209023839 (Illinois).

The current practice location address for Jared Joseph Banaszak is 1620 W Harrison St, Chicago, IL and can be reached out via phone at 312-942-6208.

Location: 1620 W Harrison St, Chicago, IL, 60647-2252
person
Provider Profile Details
NPI Number
1396414165
Provider Name
Jared Joseph Banaszak
Credential
Provider Entity Type
Individual
Gender
Male
Address
1620 W Harrison St, Chicago, IL, 60647-2252
Phone Number
312-942-6208
Fax Number
Provider Enumeration Date
09/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1620 W Harrison St
City
State
Zip
60612-3801
Phone Number
312-942-6208
Fax Number
person
Provider Business Mailing Address Details
Address
1620 W Harrison St
City
State
Zip
60612-3801
Phone Number
312-942-6208
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
209023839 (Illinois)
Definition
Definition to come...
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