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Individual

DR. LUISITO PEREZ BENIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
114 N ORCHARD DR, PARK FOREST, IL 60466-1200
(708) 283-3018
Mailing address
114 N ORCHARD DR, PARK FOREST, IL 60466-1200
(708) 283-3018

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IL

Other

Enumeration date
12/20/2005
Last updated
07/08/2007
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