Individual
SCOTT THOMAS BENKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-7678
Mailing address
833 S WOOD ST RM 164, CHICAGO, IL 60612-7229
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
051292839
IL
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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