Park, Bennett
Park, Bennett is an individual health care provider with primary practice located at 1555 Barrington Rd , Hoffman Estates IL 60194-1019. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Park, Bennett can be contacted via phone (847) 843-2000.Contact Information
Primary practice address
1555 Barrington Rd
Hoffman Estates IL 60194-1019
Phone: (847) 843-2000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 036065706 | Illinois |
Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 036065706 | Illinois |
Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 036065706 | Illinois |
Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 036065706 | Illinois |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036065706 | Illinois |
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 036065706 | Illinois |
Profile Details
NPI number | 1750486668 |
---|---|
LBN Legal business name | Park, Bennett |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 14th, 2006 |
Last updated | Mar 15th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750486668 | NPPES |
Illinois | Other | 05615083 | BLUE CROSS PROVIDER ID |
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