Individual provider · NPI-1

Maesyn Eleanor Benjamin

Physical Therapist · Palos Heights, IL

NPI number1629944095
StatusActive
Last updated in NPPESOct 14, 2025

Details

NPI
1629944095
Entity type
Individual (NPI-1)
Name
Maesyn Eleanor Benjamin
Sex
Female
Sole proprietor
No
Enumeration date
Oct 14, 2025
Certification date
Oct 14, 2025
Last updated
Oct 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

12251 S 80th Ave
Palos Heights, IL 60463-1290

Phone 708-923-4000

Mailing address

12251 S 80th Ave
Palos Heights, IL 60463-1290

Phone 708-923-4000

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