Genmed Healthpro Inc

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

GENMED HEALTHPRO INC

Practice address

710 Blue Ridge Dr
Streamwood, IL 60107-4503

Phone

(773) 946-0552

NPI assigned

Dec 27, 2021

Last updated

Dec 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Irineo O. Banas Jr., SA-CNPI 1578857603

Title

President

Phone

(773) 946-0552

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irineo Ocsio Banas Jr., SA-C

  • Surgical Assistant
  • Hoffman Estates, IL
  • NPI 1578857603
  NPD Authorized official

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1982364451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 BLUE RIDGE DR",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601074503",
            "telephone_number": "773-946-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BLUE RIDGE DR",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601074503",
            "telephone_number": "773-946-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENMED HEALTHPRO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "BANAS",
        "authorized_official_first_name": "IRINEO",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-946-0552",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "SA-C"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Assistant in Streamwood, IL
• Providers in Streamwood, IL by specialty
• Surgical Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.