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Individual

ROBERT L BENJAMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
9638 S ROBERTS RD, UNIT B36, HICKORY HILLS, IL 60457-2238
(708) 237-4270
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160-004767
IL

Other

Enumeration date
04/05/2010
Last updated
04/05/2010
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