Allison Benthal D.O. S.C. in Rockford - Specialist

Allison Benthal D.O. S.C. - NPI 1104014075

Allison Benthal D.O. S.C. is a Specialist in Rockford, Illinois. Allison Benthal D.O. S.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Allison Benthal D.O. S.C. is 1104014075. The last update date is 2022-07-21.

Allison Benthal D.O. S.C.'s current location address is 5727 Strathmoor Dr, Rockford, Illinois. You can contact this provider via phone number 8153811004 and fax number 8153811007. The mailing address for Allison Benthal D.O. S.C. is 5727 Strathmoor Dr, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Allison Benthal D.O. S.C.
Address 5727 Strathmoor Dr, Rockford, Illinois
Phone Number 8153811004
Fax Number 8153811007
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN
Authorized Official Name Benthal Allison
Telephone Number 8153811004

NPI Number Detail

NPI Number 1104014075
Provider Enumeration Date 2007-10-04
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 5727 Strathmoor Dr
City Rockford
State Illinois (IL)
Post Code 611075180
Phone Number 8153811004
Fax Number 8153811007

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Allison Benthal D.O. S.C.

What is the unique provider identifier assigned to Allison Benthal D.O. S.C.?

The Allison Benthal D.O. S.C. has been issued the NPI (National Provider Identifier) 1104014075 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Allison Benthal D.O. S.C. is located?

The Allison Benthal D.O. S.C. is situated at the following address: 5727 Strathmoor Dr, Rockford, IL, 611075180.

What is the Allison Benthal D.O. S.C.'s area of specialization and corresponding taxonomy classification?

The Allison Benthal D.O. S.C.'s specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1104014075 to Allison Benthal D.O. S.C.?

The Centers for Medicare & Medicaid Services assigned the 1104014075 to Allison Benthal D.O. S.C. on 2007-10-04.

When was the information pertaining to Allison Benthal D.O. S.C. most recently updated or revised?

The details related to Allison Benthal D.O. S.C., including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.

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