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Individual
DR. BENJAMIN THOMAS DUKE
Active
Individual
DR. BENJAMIN THOMAS DUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010964
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1605587
BCBS IL
IL
01
—
9932411
BCBS
IL
01
—
F100094293
MEDICARE GROUP/ORGANIZATION PROVIDER TRANSACTION ACCESS NUMBER PTAN
IL
01
—
F400094300
MEDICARE GROUP MEMBER PTAN
IL
Enumeration date
08/24/2007
Last updated
10/16/2013
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