Tracy Ann Banks, MSW
Individual provider Active NPI Social Worker · Hines, IL
NPI 1710279989 · NPPES record last updated May 6, 2011
Key facts
- NPI
- 1710279989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 5000 S 5TH Ave
Health Care for Homeless Veterns
Hines, IL 60141-3030 - Phone
- (708) 202-9618
- NPI assigned
- May 6, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
5000 S 5TH Ave
Health Care for Homeless Veterns
Hines, IL 60141-3030
Mailing address
6118 N Sheridan Rd
Apt 108
Chicago, IL 60660-2884
Phone (773) 314-3018
Other providers in Hines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2011. 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.