Organization
GENMED HEALTHPRO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINEO O. BANAS JR. SA-C (PRESIDENT)
(773) 946-0552
Entity
Organization
Contact information
Practice address
710 BLUE RIDGE DR, STREAMWOOD, IL 60107-4503
(773) 946-0552
Mailing address
710 BLUE RIDGE DR, STREAMWOOD, IL 60107-4503
(773) 946-0552
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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