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1871004465
DAVID J BANAS
CHICAGO, IL
NPI
1871004465
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149018176)
Enumeration Date
2017-10-23
Last Update Date
2017-10-23
Business Address
Mr. DAVID J BANAS
5321 N DELPHIA AVE APT 122
CHICAGO, IL 60656-4620
Phone number: 773-458-0086
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Mailing Address
Mr. DAVID J BANAS
5321 N DELPHIA AVE APT 122
CHICAGO, IL 60656-4620
Phone number: 773-458-0086
Copy
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