Individual
BENJAMIN STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1044 N FRANCISCO AVE, CHICAGO, IL 60622-2743
(260) 413-9850
Mailing address
12112 ABOITE CENTER RD, FORT WAYNE, IN 46814-9528
(260) 413-9850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.005352
IL
363A00000X
Physician Assistant
10001986A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093273
—
OH
Enumeration date
01/23/2015
Last updated
08/07/2025
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