Amanda Rae Benjamin FNP

NPI 1467859454 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1467859454
Gender Female
Enumeration Date 11/19/2014
Last Updated 11/19/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
301 MADISON ST
#300
JOLIET IL, 60435-6549, US
Phone (815) 725-4367
Fax
Business Location
844 KERRY CT
WILMINGTON IL, 60481-8541, US
Phone (815) 725-7133
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Illinois
License Number 209012067
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According to our database, Mrs. Amanda Rae Benjamin FNP NPI is 1467859454, taxonomy code is 363LF0000X and license number is 209012067, license state is located at Illinois. Amanda Rae Benjamin FNP physically located at 301 Madison St, Joliet IL, 60435-6549. NPI Number Amanda Rae Benjamin FNP has the Individual type.

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1467859454 NPI number is provided on an as is basis without warranty of any kind. 1467859454 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Rae Benjamin FNP are for informational purposes only.