Individual
DANIEL P BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1100 JOLIET ST, SUITE 205, DYER, IN 46311-1996
(219) 864-3300
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008615A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000363564
ANTHEM - APT PLUS
IN
01
—
000000363578
ANTHEM - 1ST AID PLUS
IN
01
—
000000363579
ANTHEM - MBWOUDE
IN
01
—
P01062367
MEDICARE RAILROAD
IN
Enumeration date
06/07/2006
Last updated
12/14/2017
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