Benedetti, Enrico
Benedetti, Enrico is an individual health care provider with primary practice located at 1801 W Taylor St 3F Occ Mc 741, Chicago IL 60612-4795. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Benedetti, Enrico can be contacted via phone (866) 600-2273.Contact Information
Primary practice address
1801 W Taylor St 3F Occ Mc 741
Chicago IL 60612-4795
Phone: (866) 600-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036083963 | Illinois |
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 036.083963 | Illinois |
Profile Details
| NPI number | 1770689143 |
|---|---|
| LBN Legal business name | Benedetti, Enrico |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Apr 25th, 2017 - about 8 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 | 1770689143 | NPPES |
| Illinois | MEDICAID | 036.083963 |
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