Individual
DR. THOMAS R BENTHIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
112 W MONROE ST, CHICAGO, IL 60603-1607
(312) 236-6460
(312) 236-8082
Mailing address
112 W MONROE ST, CHICAGO, IL 60603-1607
(312) 236-6460
(312) 236-8082
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.007474
IL
Other
Enumeration date
12/08/2011
Last updated
08/06/2016
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