Individual
DR. JOHN ANTHONY BENEDETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1353 W CORNELIA, CHICAGO, IL 60657
(773) 975-6666
(773) 975-4051
Mailing address
1353 W CORNELIA, CHICAGO, IL 60657
(773) 975-6666
(773) 975-4051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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