Individual
DR. BENJAMIN PATRICK CAUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FACS
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Mailing address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036-140624
IL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
036-140624
IL
2086S0122X
Plastic and Reconstructive Surgery Physician
036-140624
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972828283
—
IL
Enumeration date
03/30/2010
Last updated
04/22/2021
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