Individual
IRENE M BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, ANP-C
Contact information
Practice address
100 W 162ND ST, SOUTH HOLLAND, IL 60473-2003
(708) 730-2200
Mailing address
100 W 162ND ST, SOUTH HOLLAND, IL 60473-2003
(708) 730-2200
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.011181
IL
Other
Enumeration date
04/13/2007
Last updated
12/21/2021
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