Individual
EILEEN BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
111 N NAPPANEE ST, ELKHART, IN 46514-1957
(574) 522-0265
(574) 406-0025
Mailing address
1205 W LILL AVE APT 1, CHICAGO, IL 60614-3595
(440) 523-9585
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.542578
IL
363LF0000X
Family Nurse Practitioner
Primary
71017859A
IN
Other
Enumeration date
11/06/2023
Last updated
03/19/2026
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