Bentrem, David

Bentrem, David is an individual health care provider with primary practice located at 675 N Saint Clair St Suite 100, Chicago IL 60611-5975. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Bentrem, David can be contacted via phone (312) 695-1130.

Contact Information

Primary practice address
675 N Saint Clair St Suite 100 Chicago IL 60611-5975
Phone: (312) 695-1130
Fax: (312) 695-1144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 036099284 Illinois

Profile Details

NPI number 1821072919
LBN Legal business name Bentrem, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jun 22nd, 2009 - about 17 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 1821072919 NPPES
Illinois MEDICAID 036099284

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