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1164897955
MICHAEL J. BANKS
CHICAGO, IL
NPI
1164897955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071.002635)
Enumeration Date
2015-12-06
Last Update Date
2015-12-06
Business Address
Dr. MICHAEL J. BANKS Ph.D.
1335 W CHASE AVE
CHICAGO, IL 60626-2129
Phone number: 773-262-2794
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Mailing Address
Dr. MICHAEL J. BANKS Ph.D.
1335 W CHASE AVE
CHICAGO, IL 60626-2129
Phone number: 773-262-2794
Copy
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