Black, Benjamin Alexander

Black, Benjamin Alexander is an individual health care provider with primary practice located at 207 63Rd St Athletico, Willow Brook IL 60527-2147. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Black, Benjamin Alexander can be contacted via phone (630) 230-0900.

Contact Information

Primary practice address
207 63Rd St Athletico Willow Brook IL 60527-2147
Phone: (630) 230-0900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 96002214 Illinois

Profile Details

NPI number 1699751396
LBN Legal business name Black, Benjamin Alexander
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jul 8th, 2007 - about 18 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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