Organization
DR JOSE -DANIEL BENATAR M D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERONICA BAKER (COORDINATOR)
(847) 251-2400
Entity
Organization
Contact information
Practice address
1200 W MONROE ST, APT 708, CHICAGO, IL 60607-2565
(773) 257-6840
Mailing address
1200 W MONROE ST, APT 708, CHICAGO, IL 60607-2565
(773) 257-6840
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-106878
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106878
—
IL
Enumeration date
10/24/2012
Last updated
10/24/2012
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