NPI 1811951072

Joseph Banno, MD

Practitioner Urology Physician Peoria, IL

Practice location

Address: 7309 N Knoxville Ave, Peoria, IL 61614-2085
Phone: (309) 692-9898
Fax: (309) 692-9055

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 036053979 (IL)

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Registry record

NPI: 1811951072
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2006
Record last updated: 14 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.