Healthcare Provider Details

I. General information

NPI: 1801435367
Provider Name (Legal Business Name): BANKS CHIROPRACTIC AND MEDICAL LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2020
Last Update Date: 02/03/2022
Certification Date: 02/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 LEE ST STE 450
DES PLAINES IL
60016-4545
US

IV. Provider business mailing address

701 LEE ST STE 450
DES PLAINES IL
60016-4545
US

V. Phone/Fax

Practice location:
  • Phone: 847-768-9330
  • Fax: 847-768-9336
Mailing address:
  • Phone: 847-768-9330
  • Fax: 847-768-9336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GREGORY D BANKS
Title or Position: OWNER
Credential: DC
Phone: 847-768-9330