Individual
MS. JULIA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
15 SALT CREEK LN, SUITE # 111, HINSDALE, IL 60521-2926
(630) 371-0133
(630) 371-0138
Mailing address
15 SALT CREEK LANE SUITE 111, IPC HOSPITALIST COMPANY, HINSDALE, IL 60521
(630) 371-0133
(630) 371-0138
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
041-332981
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209-006621
IL
Other
Enumeration date
05/07/2007
Last updated
04/28/2014
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