Stephen Gerald Bennett M.D.

NPI 1013978766 - Family Medicine - 207Q00000X

NPI Details
NPI 1013978766
Gender Male
Enumeration Date 03/31/2006
Last Updated 01/01/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
4140 SOUTHWEST HWY
HOMETOWN IL, 60456-1135, US
Phone (708) 422-5700
Fax (708) 422-9535
Business Location
801 BURNS AVE
FLOSSMOOR IL, 60422-1158, US
Phone (708) 798-7554
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036073675
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According to our database, Dr. Stephen Gerald Bennett M.D. NPI is 1013978766, taxonomy code is 207Q00000X and license number is 036073675, license state is located at Illinois. Stephen Gerald Bennett M.D. physically located at 4140 Southwest Hwy, Hometown IL, 60456-1135. NPI Number Stephen Gerald Bennett M.D. has the Individual type.

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1013978766 NPI number is provided on an as is basis without warranty of any kind. 1013978766 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Gerald Bennett M.D. are for informational purposes only.