Willie Banks, GED

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Practice address

5921 S Carpenter St
Chicago, IL 60621-1433

Phone

(773) 456-7533

NPI assigned

Jan 19, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1982356192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5921 S CARPENTER ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606211433",
            "telephone_number": "773-456-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 S CARPENTER ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606211433",
            "telephone_number": "773-456-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "WILLIE",
        "credential": "GED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J. Banks, PH.D.
• Myesha Janell Banks, M.D.
• Olivia Caroline Banks
• Racheal J Banks, COTA/L
• Typhannie Patrice Banks
• Lindsay Banman
• Christopher Banna, O.D.
• Khalid Talal Bannan, M.D.
• Besan Maher Bannasch
• Jasmine Banner - Hubbard, LCPC

• Parenteral & Enteral Nutrition Supplies (DME) in Chicago, IL
• Providers in Chicago, IL by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.