Individual
ANEM M BANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
2228 WEBER RD, CREST HILL, IL 60403-0928
(815) 729-9900
Mailing address
2228 WEBER RD, CREST HILL, IL 60403-0928
(815) 729-9900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.022678
IL
363LF0000X
Family Nurse Practitioner
209.022678
IL
363LF0000X
Family Nurse Practitioner
209.22678
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.022678
IDFPR
IL
Enumeration date
02/08/2021
Last updated
03/13/2023
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