Individual
ANGELA MARTIN BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CRNA
Contact information
Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1290
(708) 923-3936
(708) 923-8848
Mailing address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1290
(708) 923-3936
(708) 923-8848
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
204826
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
209025178
IL
367500000X
Certified Registered Nurse Anesthetist
3321632
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DH756
—
FL
01
—
G00CU
BC/BS
FL
Enumeration date
09/22/2005
Last updated
09/15/2022
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