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Individual

DR. DANIEL N BENOIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
11 BRIARCLIFF PROF CTR, BOURBONNAIS, IL 60914-1775
(815) 933-7077
(815) 933-4430
Mailing address
301 E HICKORY ST, SUITE 2, STREATOR, IL 61364-2287
(815) 672-0280
(815) 672-2828

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004741
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016004741
IL
Enumeration date
10/12/2005
Last updated
05/12/2008
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