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Individual

ENRICO BENEDETTI

Active
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Individual

ENRICO BENEDETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
036.083963
IL
208600000X
Surgery Physician
036083963
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036.083963
IL
Enumeration date
09/15/2006
Last updated
04/25/2017
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