National Provider Identifier Database

BETHANY BANKS, LISCENED COSMETOLOGI – NPI #1215455852
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

BETHANY BANKS, LISCENED COSMETOLOGI
9161 W. CERMAK RD
NORTH RIVERIDE, IL60546
Phone: 708-853-9230
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for BETHANY BANKS

NPI Number 1215455852
Credentials LISCENED COSMETOLOGI
Entity Individual
Enumeration date 09/04/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 012.007533
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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