Organization
BENJAMIN EYE CARE
Active
Other names
Benjamin Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J BENJAMIN MD (PHYSICIAN)
(708) 354-2008
Entity
Organization
Contact information
Practice address
5201 WILLOW SPRINGS RD, SUITE 450, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 354-2008
(708) 354-2092
Mailing address
5201 WILLOW SPRINGS RD, SUITE 450, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 354-2008
(708) 354-2092
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1628903
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/12/2007
Last updated
05/27/2009
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