MEDICARE: BANKS CHIROPRACTIC AND MEDICAL LTD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1801435367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BANKS CHIROPRACTIC AND MEDICAL LTD.

Provider Business Mailing Address
First Line	:	701 LEE ST STE 450
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60016-4545
Country	:	US
Telephone Number	:	847-768-9330
Fax Number	:	847-768-9336

Provider Business Practice Location Address
First Line	:	701 LEE ST STE 450
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60016-4545
Country	:	US
Telephone Number	:	847-768-9330
Fax Number	:	847-768-9336

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GREGORY D BANKS
Credential	:	DC
Telephone Number	:	847-768-9330

Provider Enumeration Date	:	01/02/2020
Last Update Date	:	02/03/2022

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