Individual
KEITH E BENZIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2285 SEQUOIA DR, AURORA, IL 60506-6209
(630) 859-6815
Mailing address
2357 SEQUOIA DR, AURORA, IL 60506-6222
(630) 859-6815
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36103378
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36103378
LICENSE
IL
Enumeration date
07/04/2006
Last updated
11/18/2021
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