Organization
CMC HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN GARDEN MD (PRESIDENT)
(773) 451-6215
Entity
Organization
Contact information
Practice address
2201 MAIN ST, EVANSTON, IL 60202-1519
(773) 831-5021
Mailing address
2201 MAIN ST, EVANSTON, IL 60202-1519
(773) 831-5021
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
04/26/2024
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