Individual
DR. BENJAMIN JAMES MOGNI V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 W HARRISON ST STE 108, CHICAGO, IL 60612-3825
(312) 942-7802
Mailing address
1750 W HARRISON ST STE 108, CHICAGO, IL 60612-3825
(312) 942-7802
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.158815
IL
207P00000X
Emergency Medicine Physician
82582-20
WI
Other
Enumeration date
04/04/2019
Last updated
01/26/2024
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