Individual
DR. BENITO VALDEPENAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1855 W TAYLOR ST, CHICAGO, IL 60612-7242
(312) 996-2174
Mailing address
1855 W TAYLOR ST, CHICAGO, IL 60612-7242
(312) 996-2174
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051301569
IL
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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