Individual
DR. THEODORE BANKS JR.
Active
Individual
DR. THEODORE BANKS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01049408A
IN
207P00000X
Emergency Medicine Physician
Primary
036123608
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01049408A
INDIANA LICENSE
IN
01
—
01049408B
CSR
IN
01
—
036123608
STATE LICENSE
IL
05
—
200197460
—
IN
Enumeration date
06/03/2006
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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