Healthcare Provider Details

I. General information

NPI: 1922778182
Provider Name (Legal Business Name): TINEKA BANKS DNP, FPA, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2021
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1S450 SUMMIT AVE
OAKBROOK TERRACE IL
60181-3990
US

IV. Provider business mailing address

31 SIBLEY ST STE A
HAMMOND IN
46320-1725
US

V. Phone/Fax

Practice location:
  • Phone: 630-376-6559
  • Fax:
Mailing address:
  • Phone: 630-581-5372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277.003855
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041484249
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: