Individual
MS. KIMBERLY K. BENKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, BSDH, MPH, COM
Contact information
Practice address
161 CREST RD, GLEN ELLYN, IL 60137-5401
(708) 309-3844
(630) 790-5517
Mailing address
161 CREST RD, GLEN ELLYN, IL 60137-5401
(708) 309-3844
(630) 790-5517
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
020003137
IL
172M00000X
Mechanotherapist
Primary
05C79
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
05C79
—
Other
Enumeration date
08/27/2007
Last updated
07/21/2022
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