Benge, John William

Benge, John William is an individual health care provider with primary practice located at 800 N Westmoreland Rd Suite 102, Lake Forest IL 60045-1673. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Benge, John William can be contacted via phone (847) 735-8550.

Contact Information

Primary practice address
800 N Westmoreland Rd Suite 102 Lake Forest IL 60045-1673
Phone: (847) 735-8550
Fax: (847) 582-2198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036053646 Illinois

Profile Details

NPI number 1285628859
LBN Legal business name Benge, John William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jul 17th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285628859 NPPES
Illinois MEDICAID 036053646
Illinois Other 4468170
Illinois Other 1699507

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