Individual
LUIS ALFONSO BENAVENTE CHENHALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 ARCADE AVE, SUITE 340, ELKHART, IN 46514-2477
(574) 293-3317
(574) 293-3523
Mailing address
6301 UNIVERSITY COMMONS, SUITE 230, SOUTH BEND, IN 46635-1571
(574) 251-2100
(574) 251-2151
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01068947A
IN
Other
Enumeration date
07/26/2006
Last updated
08/05/2013
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