Bennett, Nelson E

Bennett, Nelson E is an individual health care provider with primary practice located at 675 N Saint Clair St Ste 20-150 , Chicago IL 60611-5979. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bennett, Nelson E can be contacted via phone (312) 695-8146.

Contact Information

Primary practice address
675 N Saint Clair St Ste 20-150 Chicago IL 60611-5979
Phone: (312) 695-8146
Fax: (312) 695-7030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036140620 Illinois

Profile Details

NPI number 1366529240
LBN Legal business name Bennett, Nelson E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Mar 19th, 2019 - about 5 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 1366529240 NPPES
Massachusetts MEDICAID 110077210A
Massachusetts Other 4S3451

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