Individual
MARIA CHARINA DORIA BENAVIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1750 W HARRISON ST, CHICAGO, IL 60612-3825
(312) 942-5000
Mailing address
1750 W HARRISON ST, CHICAGO, IL 60612-3825
(312) 942-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.078338
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
06/08/2021
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