Search › Illinois › 2085R0202X
Donald Banicki, M.D
NPI 1295999225 · on the registry since 2008 · sole proprietor
Practice
- Address
- 6426 Old Hunters Run
Rockford, IL 61114 - Phone
- (815) 633-5995
- Fax
- (815) 633-5995
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-07-18
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