Individual
BENJAMIN SAMUEL
Active
Individual
BENJAMIN SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036094563
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01637015
BCBS PROVIDER ID
IL
05
—
036094563
—
IL
01
—
P00385596
RAILROAD MEDICARE
IL
Enumeration date
08/01/2006
Last updated
07/21/2022
Update your record
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