Individual
BEN HAUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
213 N 5TH ST, PETERSBURG, IL 62675-1303
(217) 393-8203
(217) 236-0500
Mailing address
213 N 5TH ST, PETERSBURG, IL 62675-1303
(217) 393-8203
(217) 236-0500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125076090
IL
Other
Enumeration date
05/07/2020
Last updated
01/02/2024
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