Individual
MR. THOMAS GERALD BANCSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
6775 PROSPERI DR, TINLEY PARK, IL 60477-4789
(708) 429-1260
(708) 429-6622
Mailing address
5271 N JOHNSON RD, MICHIGAN CITY, IN 46360-9377
(708) 567-0468
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
56006138
IL
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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