Individual
KAREN ELIZABETH BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1611 W HARRISON ST, SUITE 400, CHICAGO, IL 60612-4861
(312) 432-2300
(312) 942-1517
Mailing address
1611 W HARRISON ST STE 400, CHICAGO, IL 60612-4861
(312) 432-2440
(312) 942-1517
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
57. 016191
OH
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
036-133393
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036133393 1
—
IL
01
—
1633878
BCBS IL
IL
Enumeration date
09/17/2009
Last updated
01/31/2014
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