| E Eliot Benezra Mdsc | |
|
120 Oakbrook Ctr Suite 200 Oak Brook IL 60523-1806 | |
| (630) 571-8118 | |
| (630) 572-0626 |
| Full Name | E Eliot Benezra Mdsc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 120 Oakbrook Ctr, Oak Brook, Illinois |
| Authorized Official Name and Position | E Eliot Benezra (PSYCHIATRIST/PRESIDENT) |
| Authorized Official Contact | 6305718118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E Eliot Benezra Mdsc 120 Oakbrook Ctr Suite 200 Oak Brook IL 60523-1806 Ph: (630) 571-8118 | E Eliot Benezra Mdsc 120 Oakbrook Ctr Suite 200 Oak Brook IL 60523-1806 Ph: (630) 571-8118 |
| NPI Number | 1144499328 |
|---|---|
| Provider Enumeration Date | 02/21/2008 |
| Last Update Date | 02/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144499328 | NPI | - | NPPES |
| 0002200281 | Other | BLUE CROSS | |
| 036034882 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036034882 (Illinois) | Primary |
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