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Individual

MRS. OLGA BANYS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 935-7500
Mailing address
10S432 ECHO LN APT 3, WILLOWBROOK, IL 60527-6798
(347) 416-1610

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-006493
IL
363AM0700X
Medical Physician Assistant
Primary
085006493
IL

Other

Enumeration date
01/25/2018
Last updated
04/25/2018
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