Individual
TAKIYAH BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6900 MAIN ST STE 166, DOWNERS GROVE, IL 60516-3456
(630) 930-3988
Mailing address
2048 STONEFIELD DR, GLENDALE HEIGHTS, IL 60139-1864
(630) 930-3988
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
041434612
IL
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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