Individual
BENO STEPHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-1000
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.018791
IL
Other
Enumeration date
02/26/2019
Last updated
03/26/2019
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