Individual
DR. MICHAEL J. BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1335 W CHASE AVE, CHICAGO, IL 60626-2129
(773) 262-2794
Mailing address
1335 W CHASE AVE, CHICAGO, IL 60626-2129
(773) 262-2794
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.002635
IL
Other
Enumeration date
12/06/2015
Last updated
12/06/2015
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