Individual
LONI J BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1201 PINE ST, ELDORADO, IL 62930-1634
(618) 273-3361
Mailing address
1201 PINE ST, ELDORADO, IL 62930-1634
(618) 273-3361
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277001678
IL
363LF0000X
Family Nurse Practitioner
277.001678
IL
Other
Enumeration date
07/31/2007
Last updated
02/12/2024
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