Dally, Benjamin Michael

Dally, Benjamin Michael is an sole proprietor health care provider with primary practice located at 800 Roosevelt Road Bldg E Ste 410, #8, Glen Ellyn IL 60137-5839. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Dally, Benjamin Michael can be contacted via phone (630) 216-9201.

Contact Information

Primary practice address
800 Roosevelt Road Bldg E Ste 410, #8 Glen Ellyn IL 60137-5839
Phone: (630) 216-9201
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180007749 Illinois

Profile Details

NPI number 1639444573
LBN Legal business name Dally, Benjamin Michael
Credentials L.C.P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2012
Last updated Oct 23rd, 2023 - about last year

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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