Individual
BEN J SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON ST STE 365, CHICAGO, IL 60612
(312) 226-8228
Mailing address
1725 W HARRISON ST STE 365, CHICAGO, IL 60612-3836
(312) 226-8228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036140451
IL
207RR0500X
Rheumatology Physician
Primary
036140451
IL
Other
Enumeration date
05/13/2013
Last updated
02/10/2020
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