Organization
J&J HEALTH SERVICES LLC
Active
Other names
Mens Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH BANNO M.D. (OWNER)
(309) 621-4770
Entity
Organization
Contact information
Practice address
7309 N KNOXVILLE AVE, SUITE 200, PEORIA, IL 61614-2085
(309) 672-1477
Mailing address
7309 N KNOXVILLE AVE, SUITE 200, PEORIA, IL 61614-2085
(309) 672-1477
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036053979
IL
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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