Dubin, Benjamin A

Dubin, Benjamin A is an individual health care provider with primary practice located at 103 S Greenleaf St Suite J, Gurnee IL 60031-3380. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Dubin, Benjamin A can be contacted via phone (847) 662-8201.

Contact Information

Primary practice address
103 S Greenleaf St Suite J Gurnee IL 60031-3380
Phone: (847) 662-8201
Fax: (847) 662-8215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Illinois

Profile Details

NPI number 1356495030
LBN Legal business name Dubin, Benjamin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Feb 12th, 2008 - about 17 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 1356495030 NPPES
Illinois MEDICAID 0360399611
Illinois Other 453550
Illinois Other 1609827237
Illinois Other K39550
Illinois Other 4920144
Illinois Other 4392571
Illinois Other 7248829002

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