# BENJAMIN EYE CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Benjamin Eye Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215087986
- **Authorized official:** DR. MARK J BENJAMIN MD (PHYSICIAN)
- **Authorized official phone:** (708) 354-2008

## Contact information

- **Practice address:** 5201 WILLOW SPRINGS RD, SUITE 450, LA GRANGE HIGHLANDS, IL 60525-6537
- **Practice address phone:** (708) 354-2008
- **Practice address fax:** (708) 354-2092
- **Mailing address:** 5201 WILLOW SPRINGS RD, SUITE 450, LA GRANGE HIGHLANDS, IL 60525-6537
- **Mailing address phone:** (708) 354-2008
- **Mailing address fax:** (708) 354-2092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 05/27/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1628903 | BLUE CROSS BLUE SHIELD | IL |