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Benjamin Ejzak

Counselor, Professional in Chicago, IL. Individual provider (NPI-1).

NPI number1093545642
StatusActive
Last updated in NPPESSep 28, 2026

Details

NPI
1093545642
Entity type
Individual (NPI-1)
Name
Benjamin Ejzak
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 7, 2024
Certification date
Sep 28, 2026
Last updated
Sep 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional178.023355ILYes

Practice location

1127 N Oakley Blvd Fl 3
Chicago, IL 60622-3507

Phone 312-770-2317

Mailing address

1127 N Oakley Blvd Fl 3
Chicago, IL 60622-3507

Phone 312-770-2317

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