Benig, Vincent Rafer

Benig, Vincent Rafer is an individual health care provider with primary practice located at 1144 W Jefferson St Ste 200, Shorewood IL 60404-0704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Benig, Vincent Rafer can be contacted via phone (815) 729-1010.

Contact Information

Primary practice address
1144 W Jefferson St Ste 200 Shorewood IL 60404-0704
Fax: (888) 523-3001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036105160 Illinois

Profile Details

NPI number 1487609772
LBN Legal business name Benig, Vincent Rafer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Nov 5th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487609772 NPPES
Illinois MEDICAID 036105160
Illinois Other 0001635931

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