Benjamin, Tucker D

Benjamin, Tucker D is an individual health care provider with primary practice located at 750 E Terra Cotta Ave Ste B , Crystal Lake IL 60014-3621. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Benjamin, Tucker D can be contacted via phone (815) 759-6363.

Contact Information

Primary practice address
750 E Terra Cotta Ave Ste B Crystal Lake IL 60014-3621
Phone: (815) 759-6363
Fax: (815) 759-6360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085005769 Illinois

Profile Details

NPI number 1407122591
LBN Legal business name Benjamin, Tucker D
Credentials MS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2012
Last updated Dec 30th, 2024 - about 2 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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