Organization
BANKS DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOHER P. BANKS D.M.D (DENTIST OWNER)
(773) 651-8700
Entity
Organization
Contact information
Practice address
8244 S ASHLAND AVE, CHICAGO, IL 60620-4660
(773) 651-8700
(773) 651-8711
Mailing address
8244 S ASHLAND AVE, CHICAGO, IL 60620-4660
(773) 651-8700
(773) 651-8711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026355
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003056342
—
IL
Enumeration date
06/15/2017
Last updated
06/16/2018
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