Ticho, Benjamin Hendrick
Ticho, Benjamin Hendrick is an individual health care provider with primary practice located at 10436 Southwest Highway , Chicago Ridge IL 60415-2282. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometric Technician, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Ticho, Benjamin Hendrick can be contacted via phone (708) 423-4070.Contact Information
Primary practice address
10436 Southwest Highway
Chicago Ridge IL 60415-2282
Phone: (708) 423-4070
Fax: (708) 423-4216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometric Technician | 156FX1202X | 036082457 | Illinois |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01070796A | Indiana |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036082457 | Illinois |
Profile Details
| NPI number | 1992782494 |
|---|---|
| LBN Legal business name | Ticho, Benjamin Hendrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Apr 23rd, 2020 - about 4 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 | 1992782494 | NPPES |
| Illinois | Other | 01621679 | BC/BS OF ILLINOIS |
| Illinois | Other | 205786 | BC/BS OF ILLINOIS |
| Illinois | Other | 253350 | BC/BS OF ILLINOIS |
| Illinois | MEDICAID | 036082457 | BC/BS OF ILLINOIS |
| Illinois | Other | 205785 | BC/BS OF ILLINOIS |
| Illinois | Other | M400068419 | BC/BS OF ILLINOIS |
| Illinois | Other | 10601008 | BC/BS OF ILLINOIS |
| Illinois | Other | 1083684922 | BC/BS OF ILLINOIS |
| Illinois | Other | 200155690 | BC/BS OF ILLINOIS |
| Illinois | Other | 200155690 | BC/BS OF ILLINOIS |
| Illinois | Other | 10601008 | BC/BS OF ILLINOIS |
| Illinois | Other | 180046211 | BC/BS OF ILLINOIS |
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