Individual
BENJAMIN NEWELL WINDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1540 E GROVE AVE, RANTOUL, IL 61866-2736
(217) 893-7700
Mailing address
611 W PARK, FAPC, URBANA, IL 61802
(217) 902-6954
(217) 902-7711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209030250
IL
Other
Enumeration date
07/11/2019
Last updated
12/24/2024
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