Individual
LEONOR DE ASIS BANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5201 WILLOW SPRINGS RD STE 260, LA GRANGE HIGHLANDS, IL 60525-6537
(630) 554-3456
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-010291
IL
363LF0000X
Family Nurse Practitioner
209010291
IL
Other
Enumeration date
03/28/2013
Last updated
04/03/2025
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