Individual
MARC H BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
5946 N MILWAUKEE AVE, CHICAGO, IL 60646-5424
(773) 775-6637
(773) 775-6638
Mailing address
5946 N MILWAUKEE AVE, CHICAGO, IL 60646-5424
(773) 775-6637
(773) 775-6638
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056002934
IL
Other
Enumeration date
04/23/2007
Last updated
12/12/2008
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