Organization
BENCHMARK ATLANTIC HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ROBISON (CO OWNER)
(815) 578-0304
Entity
Organization
Contact information
Practice address
5407 BULL VALLEY RD, MCHENRY, IL 60050-7410
(815) 578-0304
(815) 578-0343
Mailing address
5407 BULL VALLEY RD, MCHENRY, IL 60050-7410
(815) 578-0304
(815) 578-0343
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
203-000551
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05632100
BLUE CROSS BLUE SHIELD OF
IL
Enumeration date
07/18/2005
Last updated
05/24/2024
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