Individual
AMANDA BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
951 ESSINGTON RD # 300, JOLIET, IL 60435-8439
(815) 744-4551
(815) 744-4756
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-012067
IL
363LF0000X
Family Nurse Practitioner
209012067
IL
Other
Enumeration date
11/19/2014
Last updated
12/15/2020
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