Individual
DR. MICHELLE BENE BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
808 S WOOD ST RM 376, CHICAGO, IL 60612-7300
(312) 996-6966
(312) 996-1188
Mailing address
4500 W BERTEAU AVE, CHICAGO, IL 60641-1908
(773) 283-3677
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
Primary
—
IL
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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