Individual
MARK G BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
519 MAIN ST, GREENFIELD, IL 62044-1321
(217) 358-3075
Mailing address
519 MAIN ST, GREENFIELD, IL 62044-1321
(217) 358-3075
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
041314705
IL
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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