CONNIE S BANKS

PARK FOREST, IL
NPI1215103163
Former NameCONNIE S SHIDLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.001461)
Enumeration Date2008-05-01
Last Update Date2008-05-01
Business Address
Mrs. CONNIE S BANKS
318 MOHAWK ST
PARK FOREST, IL 60466-1908
Phone number: 708-932-4193
Mailing Address
Mrs. CONNIE S BANKS
318 MOHAWK ST
PARK FOREST, IL 60466-1908
Phone number: 708-932-4193