Individual
DR. BENJAMIN F. AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-2908
(312) 695-0061
(312) 695-9013
Mailing address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-2908
(312) 695-0061
(312) 695-9013
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036113803
IL
208VP0014X
Interventional Pain Medicine Physician
036113803
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113803
—
IL
Enumeration date
07/18/2006
Last updated
12/01/2021
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