Organization
E ELIOT BENEZRA MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
E ELIOT BENEZRA M.D. (PSYCHIATRIST/PRESIDENT)
(630) 571-8118
Entity
Organization
Contact information
Practice address
120 OAKBROOK CTR, SUITE 200, OAK BROOK, IL 60523-1806
(630) 571-8118
(630) 572-0626
Mailing address
120 OAKBROOK CTR, SUITE 200, OAK BROOK, IL 60523-1806
(630) 571-8118
(630) 572-0626
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036034882
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002200281
BLUE CROSS
—
05
—
036034882
—
IL
Enumeration date
02/21/2008
Last updated
02/21/2008
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