Individual
BENITA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
666 DUNDEE RD STE 1302, NORTHBROOK, IL 60062-2736
(847) 400-5133
(847) 400-5828
Mailing address
666 DUNDEE RD STE 1302, NORTHBROOK, IL 60062-2736
(847) 400-5133
(847) 400-5828
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-075654
IL
Other
Enumeration date
12/18/2006
Last updated
09/26/2011
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