Individual
BENJAMIN KEATING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1302 FRANKLIN AVE, NORMAL, IL 61761-3551
(309) 268-5867
Mailing address
1302 FRANKLIN AVE, NORMAL, IL 61761-3551
(309) 268-5867
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036150978
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/30/2016
Last updated
03/05/2024
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