Individual
DR. AILEEN BENJAKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21425 SPRING ST, UNION GROVE, WI 53182-9707
(262) 878-7001
(262) 878-7024
Mailing address
312 GRANBY ROAD, LAKE FOREST, IL 60045
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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