Individual
DR. BENEDICT TANBONLIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 W HIGH ST, MORRIS, IL 60450-1463
(630) 472-8800
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(800) 242-1131
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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