Individual
NOEL MIRIAM BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
240 EAST HURON STREET, SUITE 1-200, MCGAW MEDICAL CENTER OF NORTHWESTERN, CHICAGO, IL 60611
(312) 695-1259
Mailing address
240 EAST HURON STREET, SUITE 1-200, MCGAW MEDICAL CENTER OF NORTHWESTERN, CHICAGO, IL 60611
(312) 695-1259
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125066937
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2015
Last updated
06/30/2015
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