Benner, Karen Elizabeth

Benner, Karen Elizabeth is an individual health care provider with primary practice located at 1611 W Harrison St Suite 400, Chicago IL 60612-4861. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Benner, Karen Elizabeth can be contacted via phone (312) 432-2300.

Contact Information

Primary practice address
1611 W Harrison St Suite 400 Chicago IL 60612-4861
Fax: (312) 942-1517
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 57. 016191 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X 036-133393 Illinois

Profile Details

NPI number 1891028189
LBN Legal business name Benner, Karen Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2009
Last updated Jan 31st, 2014 - about 10 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 1891028189 NPPES
Illinois Other 1633878 BCBS IL
Illinois MEDICAID 036133393 1 BCBS IL

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