SearchIllinois363A00000X

Krisandra Banet

NPI 1043849391 · on the registry since 2020 · sole proprietor

Practice

Address
1111 W Kenyon Rd Ste B
Urbana, IL 61801
Phone
(217) 729-7657
Clinicians at this address
6

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
390200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois