Johnathan Marchbanks, MSW

NPI 1740802941 · on the registry since 2020

Practice

Address: 6 Eagle Ctr
O Fallon, IL 62269
Phone: (618) 206-8816
Organisation at this address: Acorn Health Of Illinois, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 98

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 101YA0400X
101YP1600X
104100000X
1041C0700X
1041S0200X
1041S0200X
374700000X
172V00000X
103K00000X
Licence states on file: MO, NULL, IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-04-24

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