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Bana Antonios

NPI 1598388480 · on the registry since 2020 · sole proprietor

Practice

Address
2160 S 1st Ave
Maywood, IL 60153
Phone
(708) 216-9000
Organisation at this address
Walgreen Co
Walgreen Co
Rosin Optical Co., Inc.
Proviso Partners For Health
Loyola University Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2,186

Additional practice sites

  • 2160 S 1st Ave, Maywood, IL

Registry record

Primary taxonomy
207RH0003X
207RH0003X
Also registered as
207RH0003X
207R00000X
207RH0003X
Licence states on file
IL, PA, MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-09

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