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Individual

DR. BENJAMIN JASON SEIDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
25 N WINFIELD RD STE 204, WINFIELD, IL 60190-1222
(630) 232-0202
(630) 690-2587
Mailing address
25 N WINFIELD RD STE 204, WINFIELD, IL 60190-1222
(630) 232-0202
(630) 690-2587

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036134102
IL
207RP1001X
Pulmonary Disease Physician
Primary
036134102
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036134102
IL
Enumeration date
12/27/2006
Last updated
08/12/2019
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