Lori Beth Bankson, RN
Individual provider Active NPI Registered Nurse · Genoa, IL
NPI 1003777202 · NPPES record last updated Nov 19, 2025
Key facts
- NPI
- 1003777202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 041.348630 (IL)
- Practice address
- 13751 Ash Rd
Genoa, IL 60135-8315 - Phone
- (815) 739-0097
- NPI assigned
- Nov 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.348630 | IL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.348630 | IL | Yes |
Addresses
Primary practice location
13751 Ash Rd
Genoa, IL 60135-8315
Mailing address
13751 Ash Rd
Genoa, IL 60135-8315
Phone (815) 739-0097
Other providers in Genoa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.