| Denise Bennett, Llc | |
|
2124 N Bingham St Unit 2 Chicago IL 60647-4034 | |
| (217) 622-1148 | |
| Not Available |
| Full Name | Denise Bennett, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2124 N Bingham St Unit 2, Chicago, Illinois |
| Authorized Official Name and Position | Denise Bennett (MANAGER) |
| Authorized Official Contact | 2176221148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denise Bennett, Llc 2124 N Bingham St Unit 2 Chicago IL 60647-4034 Ph: () - | Denise Bennett, Llc 2124 N Bingham St Unit 2 Chicago IL 60647-4034 Ph: (217) 622-1148 |
| NPI Number | 1013622059 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 01/13/2023 |
| Certification Date | 01/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013622059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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