Individual
CAROL MAIN-BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
912 NORTHWEST HWY, SUITE 7- ATTN RAYLENE BOYD, FOX RIVER GROVE, IL 60021-1925
(847) 829-1600
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209-003422
IL
Other
Enumeration date
08/11/2006
Last updated
10/08/2025
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