Individual
BENJAMIN DYLAN KORNFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2530 RIDGE AVE, EVANSTON, IL 60201-2492
(847) 869-0892
(847) 869-1070
Mailing address
2530 RIDGE AVE, EVANSTON, IL 60201-2492
(847) 869-0892
(847) 869-1070
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.130951
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2010
Last updated
12/16/2014
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