Individual
DR. MICHAEL JOSEPH BENANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-7000
Mailing address
29624 NETWORK PL, CHICAGO, IL 60673-1296
(608) 756-6278
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
204079
NY
2085R0202X
Diagnostic Radiology Physician
20A23546
CA
2085R0202X
Diagnostic Radiology Physician
C2-0024581
DE
Other
Enumeration date
03/09/2006
Last updated
07/10/2025
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