Individual
KATHLEEN MARIE BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP
Contact information
Practice address
721 W LAKE ST, ADDISON, IL 60101-2035
(630) 757-4010
Mailing address
1S561 COTUIT CT, GLEN ELLYN, IL 60137-6410
(312) 914-2718
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209014385
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
209014385
IL
Other
Enumeration date
07/28/2016
Last updated
11/20/2019
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