Individual
BRONTE BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 N OAK ST, CRYSTAL LAKE, IL 60012-3309
(815) 788-1020
Mailing address
4701 N OAK ST, CRYSTAL LAKE, IL 60012-3309
(815) 788-1020
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.014214
IL
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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