Individual
BENJAMIN CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 W 95TH ST, EVERGREEN PARK, IL 60805
(708) 229-5652
Mailing address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(773) 320-0066
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036149841
IL
2085R0204X
Vascular & Interventional Radiology Physician
4301114604
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2013
Last updated
09/30/2019
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