IndividualActive
Willie Banks, GED
NPI 1982356192 · Parenteral & Enteral Nutrition Supplies (DME) · Chicago, IL
Provider details
- NPI number
- 1982356192
- Entity type
- Individual
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Credential
- GED
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Practice location
5921 S Carpenter St
Chicago, IL 60621-1433
Phone: (773) 456-7533
Approximate (ZIP-level) locationGet directions
Mailing address
5921 S Carpenter St
Chicago, IL 60621-1433
Registry dates
- Enumerated
- 2022-01-19
- Last updated
- 2022-01-19
- Certified
- 2022-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.