Illum, Benjamin Evan
Illum, Benjamin Evan is an individual health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9000. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Neurocritical Care, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Illum, Benjamin Evan can be contacted via phone (800) 926-8273.Contact Information
Primary practice address
200 W Arbor Dr
San Diego CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A129002 | California |
| Allopathic & Osteopathic Physicians / Neurocritical Care | 2084A2900X | A129002 | California |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | A129002 | California |
Profile Details
| NPI number | 1689913873 |
|---|---|
| LBN Legal business name | Illum, Benjamin Evan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2013 |
| Last updated | Jun 3rd, 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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