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Individual

BENJAMIN SHAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
49 S WAUKEGAN RD STE 200, DEERFIELD, IL 60015-5204
(847) 400-8400
(847) 400-8445
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-1206
(847) 570-1248

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036103300
IL

Other

Enumeration date
07/19/2006
Last updated
12/08/2020
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