person
Willie Banks, GED
Parenteral & Enteral Nutrition Supplies (DME) in Chicago, Illinois
NPI 1982356192

Willie Banks is a Parenteral & Enteral Nutrition Supplies (DME) based in Chicago, IL and is specialized in Parenteral & Enteral Nutrition. Willie Banks practices in Chicago, IL and has the professional credentials of GED. The NPI Number for Willie Banks is 1982356192 and holds a License No. (Illinois).

The current practice location address for Willie Banks is 5921 S Carpenter St, Chicago, IL and can be reached out via phone at 773-456-7533.

Location: 5921 S Carpenter St, Chicago, IL, 60621-1433
person
Provider Profile Details
NPI Number
1982356192
Provider Name
Willie Banks
Credential
GED
Provider Entity Type
Individual
Gender
Male
Address
5921 S Carpenter St, Chicago, IL, 60621-1433
Phone Number
773-456-7533
Fax Number
Provider Enumeration Date
01/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5921 S Carpenter St
City
State
Zip
60621-1433
Phone Number
773-456-7533
Fax Number
person
Provider Business Mailing Address Details
Address
5921 S Carpenter St
City
State
Zip
60621-1433
Phone Number
773-456-7533
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
()
Definition
Definition to come...
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