Individual
KYLIE ANN BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4948 N TROY ST APT 2S, CHICAGO, IL 60625-4286
(815) 276-3293
Mailing address
4948 N TROY ST APT 2S, CHICAGO, IL 60625-4286
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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