Individual
DR. BRIAN T BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3001 HIGHLAND VIEW DR, FREEPORT, IL 61032-6942
(815) 599-6000
Mailing address
421 W EXCHANGE ST, PO BOX 268, FREEPORT, IL 61032-4030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036101978
IL
Other
Enumeration date
02/07/2006
Last updated
10/27/2017
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