Individual
JILLIAN M BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
23214 RANCH RD, BEACHWOOD, OH 44122-1565
(216) 356-6550
Mailing address
PO BOX 1086, WILLOUGHBY, OH 44096-1086
(216) 645-7242
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34010582
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/04/2010
Last updated
04/11/2022
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