Adaliz Olivia Benitez-Stewart, PA
Physician Assistant in Oak Lawn, IL. Individual provider (NPI-1).
NPI number1851963151
StatusActive
Last updated in NPPESDec 22, 2022
Details
- NPI
- 1851963151
- Entity type
- Individual (NPI-1)
- Name
- Adaliz Olivia Benitez-Stewart
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2021
- Certification date
- Dec 22, 2022
- Last updated
- Dec 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085008751 | IL | Yes |
Practice location
4400 W 95th St Ste 407Oak Lawn, IL 60453-2654
Phone 708-684-4029
Mailing address
29373 Network PlChicago, IL 60673-2109
Phone 847-390-5900
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