Individual
DR. ANDREW ROBERT BENCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 WAUKEGAN RD STE 110, BANNOCKBURN, IL 60015-1836
(847) 914-9096
Mailing address
2101 WAUKEGAN RD STE 110, BANNOCKBURN, IL 60015-1836
(847) 914-9096
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A158913
CA
207RR0500X
Rheumatology Physician
Primary
036.156245
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A158913
STATE LICENSE
CA
Enumeration date
05/02/2017
Last updated
06/30/2023
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