Individual
BENJAMIN ZEDECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1431 N CLAREMONT AVE FL 2, CHICAGO, IL 60622-1702
(312) 633-5890
Mailing address
1431 N CLAREMONT AVE FL 2, CHICAGO, IL 60622-1702
(312) 633-5890
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
05/21/2024
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