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Individual

BENJAMIN JOHN KEIGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
1441 BRANDING AVE STE 310, DOWNERS GROVE, IL 60515-5624
(630) 829-1084
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
15020
WI
363L00000X
Nurse Practitioner
Primary
209-025284
IL
363LF0000X
Family Nurse Practitioner
209-025284
IL
363LP2300X
Primary Care Nurse Practitioner
041449223
IL
363LP2300X
Primary Care Nurse Practitioner
209025284
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100292322
WI
Enumeration date
07/27/2022
Last updated
12/17/2025
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