Mark J Benjamin in La Grange Highlands - Ophthalmology

Mark J Benjamin - NPI 1366433138

Mark J Benjamin is a Ophthalmology in La Grange Highlands, Illinois. Mark J Benjamin practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Mark J Benjamin is 1366433138. The last update date is 2009-02-25.

Mark J Benjamin's current location address is 5201 Willow Springs Rd, La Grange Highlands, Illinois. You can contact this provider via phone number 7083542008 and fax number 7083542092. The mailing address for Mark J Benjamin is 5201 Willow Springs Rd, La Grange Highlands, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark J Benjamin
Address 5201 Willow Springs Rd, La Grange Highlands, Illinois
Phone Number 7083542008
Fax Number 7083542092
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1366433138
Provider Enumeration Date 2005-11-02
Last Updated Date 2009-02-25

Provider Mailing Address Detail

Address 5201 Willow Springs Rd
City La Grange Highlands
State Illinois (IL)
Post Code 605256537
Phone Number 7083542008
Fax Number 7083542092

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No 36095352
Definition:
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1532015 IL BLUE CROSS BLUE SHIELD

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FAQs about Mark J Benjamin

What is the unique identification code assigned to Mark J Benjamin by the Centers for Medicare & Medicaid Services?

The Mark J Benjamin has been issued the NPI (National Provider Identifier) 1366433138. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Mark J Benjamin is physically located?

The Mark J Benjamin is situated at the following address: 5201 Willow Springs Rd, La Grange Highlands, IL 605256537.

What is Mark J Benjamin's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mark J Benjamin's area of specialization is Ophthalmology, and the corresponding taxonomy code that categorizes this field of practice is 207W00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1366433138 to Mark J Benjamin?

The Mark J Benjamin received its 1366433138 assignment from the Centers for Medicare & Medicaid Services on 2005-11-02.

As of what date were the details related to Mark J Benjamin most recently updated or revised?

The information pertaining to Mark J Benjamin, including its address, specialty, and other relevant details, was last updated or revised on 2009-02-25.

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