Antoni Banas INC

NPI #1790053940 in Bourbonnais, Illinois

Provider Information

NPI Number: 1790053940
Entity Type: Organization
Organization Name: Antoni Banas INC
Primary Specialty: Pediatrics
Enumeration Date: Dec 2, 2011
Last Updated: Apr 14, 2015

Practice Location

Address: 19 HERITAGE DR STE 209
City: Bourbonnais
State: Illinois
ZIP Code: 60914-1369
Phone: (815) 932-3540

Authorized Official

Name: DR. ANTONI BANAS, M.D.
Title: PHYSICIAN
Phone: (815) 932-3540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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