Individual
MRS. JENNIFER LYNN BANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10071 W LINCOLN HWY, FRANKFORT, IL 60423-1272
(815) 464-6069
Mailing address
2501 OAK RAIL DR, NEW LENOX, IL 60451-2817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
01/06/2007
Last updated
07/08/2007
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