Organization
ANTONI BANAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONI BANAS M.D. (PHYSICIAN)
(815) 932-3540
Entity
Organization
Contact information
Practice address
19 HERITAGE DR STE 209, BOURBONNAIS, IL 60914-1369
(815) 932-3540
(815) 932-3611
Mailing address
19 HERITAGE DR STE 209, BOURBONNAIS, IL 60914-1369
(815) 932-3540
(815) 932-3611
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036090701
IL
Other
Enumeration date
12/02/2011
Last updated
04/14/2015
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