Individual
DR. JASON BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-7820
(773) 296-7821
Mailing address
1260 W WASHINGTON BLVD, APT. #204, CHICAGO, IL 60607-1962
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036115960
IL
Other
Enumeration date
07/01/2008
Last updated
10/09/2024
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