BETHANY BANKS (NPI# 1215455852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215455852 |
| Entity Type | Individual |
| Full Name | BETHANY BANKS |
| Credential | LISCENED COSMETOLOGI |
| Practice Address |
9161 W. Cermak Rd North Riveride IL 60546 |
| Practice Telephone | (708) 853-9230 |
| Mailing Telephone | 7088539230 |
| Enumeration Date | 2017-09-04 |
| Last Update Date | 2017-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | 012.007533 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9161 W. CERMAK RD |
| City | NORTH RIVERIDE |
| State | IL |
| Zip Code | 60546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700598 | Bekim Koleci | Pharmacist | 2500 South Harlem Ave, North Riverside, North Riverside, IL 60546 | 2020-11-02 |
| 1073136495 | Lydia Alejandra Robles Gomez | Internal Medicine | 3722 S Harlem Ave, Macneal Center for Internal Medi, Suite Ll 34, Riverside, IL 60546 | 2020-05-20 |
| 1770105611 | Amala Chacko | Internal Medicine | 3722 South Harlem Ave, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-05-14 |
| 1982225173 | Aneurin Cornolius Fernandez | Internal Medicine | 3722 South Harlem Ave Suite Ll34, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-04-29 |
| 1477113264 | Amulya Reddy Kasireddy | Internal Medicine | 3722 South Harlem Macneal Center for Internal Meidicine, Suite Ll34, Riverside, IL 60546 | 2019-06-14 |
| 1336702927 | Shelden Selas Rodrigues | Internal Medicine | Macneal Center for Internal Medicine 3722 South Harlem, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1083277685 | Hasrat Sidhu | Internal Medicine | 3722 South Harlem Ave., Macneal Center for Internal Med, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1972073559 | Patricia Dumke | Physical Therapist | 2518 S. Harlem Unit C, North Riverside, IL 60546 | 2018-11-27 |
| 1336639426 | Daniele Sebastiano Restifo Ortega | Internal Medicine | Macneal Center for Internal Medicine, 3722 South Harlem Ave Suite Ll34, Riverside, IL 60546 | 2018-05-14 |
| 1699263632 | Diana Alexandra Kreppel | Internal Medicine | 3722 South Harlem Avenue Macneal Center for Internal Me, Suite Ll34, Riverside, IL 60546 | 2018-04-25 |
| Find all providers in zip 60546 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653330 | Eduardo Arias | Prosthetist | 811 S Paulina St Ste 161, Chicago, IL 60612-4353 | 2020-06-15 |
| 1063041036 | Tanyale Allen | Prosthetist | 1016 E 156th Pl, Dolton, IL 60419-2775 | 2020-04-02 |
| 1700414950 | Harold Wayne Duckett | Prosthetist | 1801 15th Street Pl, Moline, IL 61265-3964 | 2020-03-31 |
| 1598395535 | Samira Kamran | Prosthetist | 211 E Ohio St Apt 2505, Chicago, IL 60611-3257 | 2020-01-17 |
| 1558906065 | Meilani Schaeffer | Prosthetist | 11317 W 159th St, Orland Park, IL 60467-5659 | 2019-11-08 |
| 1124586078 | Kaiisha Dear Sweet | Prosthetist | 3408 W 95th St, Evergreen Park, IL 60805-2204 | 2019-03-11 |
| 1851859706 | Keisha Shavonne Jackson-murry | Prosthetist | 812 Gladstone Dr, Vernon Hills, IL 60061-1406 | 2019-03-11 |
| 1811461437 | Debria Filer | Prosthetist | 16126 S Park Ave, South Holland, IL 60473-1581 | 2019-01-16 |
| 1053813089 | James Paul Shrader | Prosthetist | 1551 Bond Street, Suite 111, Naperville, IL 60563 | 2018-03-06 |
| 1144738519 | Taisha Worlds | Prosthetist | 2745 Bristol Dr, Lisle, IL 60532-4215 | 2018-01-18 |
| Find all providers with the same taxonomy | ||||
| City | NORTH RIVERIDE |
| Zip Code | 60546 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.