Individual
WADE BANKS JR.
Active
Individual
WADE BANKS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041464028
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209033161
IL
Other
Enumeration date
09/07/2023
Last updated
03/26/2026
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