JARED JOSEPH BANASZAK

CHICAGO, IL
NPI1396414165
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209023839)
Enumeration Date2021-09-07
Last Update Date2021-09-07
Business Address
JARED JOSEPH BANASZAK
1620 W HARRISON ST
CHICAGO, IL 60612-3801
Phone number: 312-942-6208
Mailing Address
JARED JOSEPH BANASZAK
2453 N AVERS AVE APT 2R
CHICAGO, IL 60647-2252
Phone number: 262-939-9109
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