Individual
ANDREW BENET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
(773) 792-5255
Mailing address
7435 WEST TALCOTT AVENUE, EMERGENCY MEDICINE RESIDENCY, CHICAGO, IL 60631
(773) 792-5155
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125.081701
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2023
Last updated
07/27/2023
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