Individual
MANJU BENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
913 E IRONWOOD DR, MOUNT PROSPECT, IL 60056-1359
(847) 863-1179
Mailing address
913 E IRONWOOD DR, MOUNT PROSPECT, IL 60056-1359
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209034081
IL
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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