Individual
JULIA BANASIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2 AMERICAN WAY, ELGIN, IL 60120
(847) 742-3545
(847) 742-3559
Mailing address
1215 KOSTER CT., GENEVA, IL 60134
(630) 601-0632
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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