Individual
DIANE BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 HILLSIDE LN, LISLE, IL 60532-2817
(630) 398-1677
Mailing address
1915 HILLSIDE LN, LISLE, IL 60532-2817
(630) 398-1677
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
217000408
IL
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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