Individual
WADE BANKS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-9100
Mailing address
3333 GREEN BAY RD, NORTH CHICAGO, IL 60064-3037
(773) 619-2498
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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