Individual
DR. CORAZON RAFER BENIG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1222 W 95TH ST, CHICAGO, IL 60643-1408
(773) 445-8155
(773) 779-7186
Mailing address
1222 W 95TH ST, CHICAGO, IL 60643-1408
(773) 445-8155
(773) 779-7186
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001635931
BCBS GRP PROVIDER NUMBER
IL
Enumeration date
05/23/2006
Last updated
07/09/2007
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