Organization
VAX CONCIERGE IN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN C GARDEN MD (MD/OWNER)
(773) 451-6215
Entity
Organization
Contact information
Practice address
3815 RIVER CROSSING PKWY STE 100, INDIANAPOLIS, IN 46240-7766
(773) 260-0964
Mailing address
7257 N LINCOLN AVE, LINCOLNWOOD, IL 60712-1810
(917) 275-5134
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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