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Individual

KEITH H BENZULY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
675 N SAINT CLAIR ST, SUITE 100, CHICAGO, IL 60611-5975
(312) 695-4965
(312) 695-5774
Mailing address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 664-3278
(312) 926-6295

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036093619
IL
207RI0011X
Interventional Cardiology Physician
Primary
036093619
IL

Other

Enumeration date
02/23/2006
Last updated
02/17/2025
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