Jared Joseph Banaszak is a psychiatric/mental health nurse practitioner in Chicago, IL with 3 years of experience. Jared Joseph Banaszak NPI is 1396414165. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1620 W HARRISON ST
CHICAGO, IL
ZIP 60612-801
Phone: (312) 942-6208
The NPI 1396414165 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/7/2021 and was last updated on 9/7/2021.