Individual
JAYLIN OMAURI BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17791 PRINCETON LANE, COUNTRY CLUB HILLS, IL 60478
(708) 941-8858
Mailing address
17791 PRINCETON LANE, COUNTRY CLUB HILLS, IL 60478
(708) 941-8858
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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