Individual
BEN THOMAS VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(507) 202-7718
Mailing address
5700 N ASHLAND AVE APT 713, CHICAGO, IL 60660-0249
(507) 202-7718
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
125.083844
IL
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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