Individual
MR. DAVID J BANAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5321 N DELPHIA AVE APT 122, CHICAGO, IL 60656-4620
(773) 458-0086
Mailing address
5321 N DELPHIA AVE APT 122, CHICAGO, IL 60656-4620
(773) 458-0086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149018176
IL
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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