Individual
DR. BENJAMIN CHAUCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2055 E SOUTH BLVD, MONTGOMERY, AL 36116-2001
(347) 906-0611
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036153028
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2017
Last updated
09/14/2020
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