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Individual

BENJAMIN URGEL CANTORNE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
716 OAK HOLLOW RD, CRYSTAL LAKE, IL 60014-6241
(203) 673-9418
Mailing address
308 MEADOWSIDE RD APT 209, MILFORD, CT 06460-4379
(203) 673-9418

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070021847
IL
225100000X
Physical Therapist
Primary
10545
CT

Other

Enumeration date
04/30/2018
Last updated
01/25/2026
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