Search › Illinois › 163W00000X
Jamieson Banman
NPI 1417782699 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3133 Pinehurst Dr
Decatur, IL 62521 - Phone
- (217) 520-7145
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-05
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