Individual
ADALIZ OLIVIA BENITEZ-STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4400 W 95TH ST STE 407, OAK LAWN, IL 60453-2654
(708) 684-4029
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-2109
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008751
IL
Other
Enumeration date
07/15/2021
Last updated
12/22/2022
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