Keith E Benziger, MD | |
2285 Sequoia Dr, Aurora, IL 60506-6209 | |
(630) 859-6815 | |
Not Available |
Full Name | Keith E Benziger |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2285 Sequoia Dr, Aurora, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073543112 | NPI | - | NPPES |
36103378 | Other | IL | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 36103378 (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003542184 PECOS PAC ID: 7810800935 Enrollment ID: O20220930002728 |
Mailing Address | Practice Location Address |
---|---|
Keith E Benziger, MD 2357 Sequoia Dr, Aurora, IL 60506-6222 Ph: (630) 859-6815 | Keith E Benziger, MD 2285 Sequoia Dr, Aurora, IL 60506-6209 Ph: (630) 859-6815 |
Dr. Priscilla Ann Sarmiento-gupana, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 N Highland Ave, Aurora, IL 60506 Phone: 630-892-4355 | |
Dr. Kevin Lue, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3925 75th St Ste 105, Aurora, IL 60504 Phone: 630-978-7337 Fax: 630-978-1341 | |
Cynthia Mata, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 S Broadway, Aurora, IL 60505 Phone: 708-747-7100 | |
Dr. Diane Marie Butterfield, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 N Highland Ave, Aurora, IL 60506 Phone: 630-978-2532 Fax: 630-978-2709 | |
Dr. Asma Bano, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4075 Fox Valley Center Dr, #3, Aurora, IL 60504 Phone: 630-907-0578 | |
Dr. Anisha Bhatia Attawala, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2000 Ogden Ave, Aurora, IL 60504 Phone: 630-978-6700 |