| NPI | 1699583062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY D BANKS Owner 847-867-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP3300X Clinic/Center, Pain | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2025-08-22 |