Individual
DAVID BENTREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 N SAINT CLAIR ST, SUITE 100, CHICAGO, IL 60611-5975
(312) 695-1130
(312) 695-1144
Mailing address
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611-4546
(312) 695-1130
(312) 695-1144
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
036099284
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099284
—
IL
Enumeration date
12/01/2005
Last updated
06/22/2009
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