Individual
MR. BENJAMIN MATSUMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 N LAKE SHORE DR, MEDICAL STAFF OFFICE PRESENCE ST. JOSEPH HOSPITAL, CHICAGO, IL 60657-5640
(773) 665-3000
Mailing address
2900 N LAKE SHORE DR, MEDICAL STAFF OFFICE PRESENCE ST. JOSEPH HOSPITAL, CHICAGO, IL 60657-5640
(773) 665-3000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036 063322
IL
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
03/12/2007
Last updated
05/13/2014
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