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Individual

MARIA SERRATTO-BENVENUTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1801 W TAYLOR ST, SUITE 2E, CHICAGO, IL 60612-4795
(312) 996-7416
(312) 413-8778
Mailing address
840 S WOOD ST, M/C 856, CHICAGO, IL 60612-4325
(312) 996-6606
(312) 413-3373

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
036038878
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036038878
IL
Enumeration date
08/11/2006
Last updated
10/17/2013
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