Individual provider · NPI-1

John A Benages, MD

Family Medicine · Elmhurst, IL

NPI number1679524722
StatusActive
Last updated in NPPESApr 13, 2011

Details

NPI
1679524722
Entity type
Individual (NPI-1)
Name
John A Benages
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 13, 2006
Last updated
Apr 13, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine036058871ILYes

Practice location

172 Schiller St
Elmhurst, IL 60126-2885

Phone 630-832-0000 · Fax 630-993-9685

Mailing address

172 Schiller St
Elmhurst, IL 60126-2885

Phone 630-993-5676 · Fax 630-758-9940

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