Individual
MARY BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N MONROE, ABINGTON, IL 61401
(309) 462-2343
(309) 462-2833
Mailing address
100 N MONROE, ABINGTON, IL 61401
(309) 462-2343
(309) 462-2833
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
041191193/08500303
IL
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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