Individual
BENJAMIN JASPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3333 GREEN BAY RD, NORTH CHICAGO, IL 60064-3037
(847) 578-3000
Mailing address
817 RIDDLEWOOD LN, HIGHLANDS RANCH, CO 80129-6987
(319) 269-5684
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.590880
IL
163W00000X
Registered Nurse
Primary
1663681
CO
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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