Individual
MR. BENJAMIN L LOCKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3930 W 115TH PL APT 2B, ALSIP, IL 60803-6229
(312) 721-7863
Mailing address
3930 W 115TH PL APT 2B, ALSIP, IL 60803-6229
(312) 721-7863
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000704
IL
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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