Individual
IRINEO OCSIO BANAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
2547 BOARDWALK BLVD, APT. F, HOFFMAN ESTATES, IL 60169-4716
(773) 946-0552
Mailing address
2547 BOARDWALK BLVD APT F, HOFFMAN ESTATES, IL 60169-3775
(773) 946-0552
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000279
IL
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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