Individual
MR. MARK L BANAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
999 N PLAZA DR STE 102, SUITE 2N, SCHAUMBURG, IL 60173-5403
(847) 882-9448
(847) 882-9496
Mailing address
21813 TALL OAK, KILDEER, IL 60047
(847) 540-1224
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021001611
IL
Other
Enumeration date
09/28/2006
Last updated
10/19/2016
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