Individual
MR. GABRIEL BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5638 N RIDGE AVE, CHICAGO, IL 60660-3483
(773) 332-2030
Mailing address
5638 N RIDGE AVE, CHICAGO, IL 60660-3483
(773) 332-2030
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
041.484016
IL
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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