Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH RYAN BANASZAK
ActiveKEITH RYAN BANASZAK is a Counselor healthcare provider located in ELK GROVE VILLAGE, Illinois. NPI 1518621812 is currently active in the NPPES registry. Verify at CMS.
Counselor · ELK GROVE VILLAGE, IL
Registration Details
- NPI Number
- 1518621812
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2021 (4.8327912429553 yrs)
- Last Updated
- Oct 24, 2021
Practice Information
- Address
-
1001 ROHLWING RDELK GROVE VILLAGE, IL, 600073217Browse IL providers · Browse ZIP 60007
- Phone
- 8475028368
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in ELK GROVE VILLAGE, IL
| Name | Credential | NPI |
|---|---|---|
| JEAN K TIERNAN | LCSW, CADC | 1124246871 |
| TESA EMMART | — | 1841524998 |
| GRACIELA GONZALEZ | — | 1649504796 |
| THERESA LINN MARTIN | — | 1184978991 |
| ANN LUSTIG | — | 1609225507 |
| MS. LAURA NICOLE ANGEL | MA | 1215467899 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.