Individual
BENZ L OBRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 HOLLISTER DR STE 107, LIBERTYVILLE, IL 60048-5265
(847) 295-0010
(847) 549-7815
Mailing address
6415 N KEATING AVE, LINCOLNWOOD, IL 60712-3410
(847) 271-7670
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277002830
IL
Other
Enumeration date
10/13/2017
Last updated
12/05/2023
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