Individual
JENNA MICHELLE BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2400 N ASHLAND AVE, CHICAGO, IL 60614-2021
(773) 270-5600
(773) 360-7378
Mailing address
1255 N SANDBURG TER, APT 1503, CHICAGO, IL 60610-8253
(248) 890-5063
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004782
IL
Other
Enumeration date
09/10/2013
Last updated
11/07/2016
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