Individual
MS. PAULA JS BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED., DT
Contact information
Practice address
17W464 EARL CT, DARIEN, IL 60561-5108
(630) 960-5166
(630) 960-5166
Mailing address
17W464 EARL CT, DARIEN, IL 60561-5108
(630) 960-5166
(630) 960-5166
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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