Individual
CHANCE ADAM BENEDICT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(972) 971-0960
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(972) 971-0960
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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