Individual
DR. SUSAN L BANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1480 RENAISSANCE DRIVE, SUITE 306, RARK RIDGE, IL 60068
(312) 332-4001
(312) 332-4002
Mailing address
1480 RENAISSANCE DRIVE, SUITE 306, RARK RIDGE, IL 60068
(312) 332-4001
(312) 332-4002
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036089223
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089223
—
IL
Enumeration date
03/13/2007
Last updated
12/13/2023
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