Individual
MR. BENJAMIN JOSEPH UNANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 GLENSHIRE DR, CHAMPAIGN, IL 61822-7701
(309) 363-8481
Mailing address
1401 GLENSHIRE DR, CHAMPAIGN, IL 61822-7701
(309) 363-8481
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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