Nelson E Bennett JR. MD

NPI 1366529240 - Urology - 208800000X

NPI Details
NPI 1366529240
Gender Male
Enumeration Date 10/31/2006
Last Updated 06/10/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
680 N LAKE SHORE DR STE 1000
CHICAGO IL, 60611-8709, US
Phone (312) 695-9797
Fax (312) 695-6594
Business Location
680 N LAKE SHORE DR STE 1000
CHICAGO IL, 60611-8709, US
Phone (312) 695-9797
Fax (781) 744-5429
Toxanomy
Taxonomy Code 208800000X
License State New York
License Number 234994
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According to our database, Nelson E Bennett JR. MD NPI is 1366529240, taxonomy code is 208800000X and license number is 234994, license state is located at New York. Nelson E Bennett JR. MD physically located at 680 N Lake Shore Dr Ste 1000, Chicago IL, 60611-8709. NPI Number Nelson E Bennett JR. MD has the Individual type.

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1366529240 NPI number is provided on an as is basis without warranty of any kind. 1366529240 is maintained by the National Plan & Provider Enumeration System. The contents of Nelson E Bennett JR. MD are for informational purposes only.