Duke, Benjamin Thomas

Duke, Benjamin Thomas is an sole proprietor health care provider with primary practice located at 1515 Sheridan Rd Arcade Unit 20-21, Wilmette IL 60091-1822. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Duke, Benjamin Thomas can be contacted via phone (847) 920-4544.

Contact Information

Primary practice address
1515 Sheridan Rd Arcade Unit 20-21 Wilmette IL 60091-1822
Fax: (847) 920-5754
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038010964 Illinois

Profile Details

NPI number 1043403793
LBN Legal business name Duke, Benjamin Thomas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2007
Last updated Oct 16th, 2013 - about 12 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 1043403793 NPPES
Illinois Other F400094300 MEDICARE GROUP MEMBER PTAN
Illinois Other F100094293 MEDICARE GROUP MEMBER PTAN
Illinois Other 9932411 MEDICARE GROUP MEMBER PTAN
Illinois Other 1605587 MEDICARE GROUP MEMBER PTAN

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