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Individual

DR. BENJAMIN PARCHEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1440 N DAYTON ST, CHICAGO, IL 60642-2644
(312) 227-5096
Mailing address
N74W24606 MERSKE CT, SUSSEX, WI 53089-4714

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
071.011245
IL
103TC2200X
Clinical Child & Adolescent Psychologist
LP6986
MN

Other

Enumeration date
03/17/2022
Last updated
11/18/2024
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