Individual
ENRICO BENEDETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 W TAYLOR ST, 3F OCC MC 741, CHICAGO, IL 60612-4795
(866) 600-2273
Mailing address
840 S WOOD ST, 402 CSB, MC 958, CHICAGO, IL 60612-4325
(312) 996-6771
(312) 413-3483
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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