Individual
DR. BENJAMIN THOMAS DUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1515 SHERIDAN RD, ARCADE UNIT 20-21, WILMETTE, IL 60091-1822
(847) 920-4544
(847) 920-5754
Mailing address
1515 SHERIDAN RD, ARCADE UNIT 20-21, WILMETTE, IL 60091-1822
(847) 920-4544
(847) 920-5754
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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