Individual
BENJAMIN P MIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1073 W LANE RD, MACHESNEY PARK, IL 61115-1622
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070018676
IL
Other
Enumeration date
08/02/2011
Last updated
11/05/2024
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