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Individual

ADAM W. BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 535-8500
(847) 535-8488
Mailing address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 535-8500
(847) 535-8488

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036106759
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
036106759
IL

Other

Enumeration date
05/17/2006
Last updated
10/14/2020
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