Individual
BENJAMIN WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 NORTH WINFIELD RD., WINFIELD, IL 60190
(630) 933-1600
Mailing address
861 RAVINIA CT, BATAVIA, IL 60510-3213
(630) 326-9486
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.117313
IL
Other
Enumeration date
01/29/2007
Last updated
09/24/2012
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