Individual
JESSICA L BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1273 N MILWAUKEE AVE, CHICAGO, IL 60622-9318
(773) 377-9910
(773) 377-9917
Mailing address
1273 N MILWAUKEE AVE, CHICAGO, IL 60622-9318
(773) 377-9910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.128552
IL
Other
Enumeration date
04/27/2009
Last updated
11/27/2021
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