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Dr. Marisenda Benitez, DPM
Foot Surgery Podiatrist in Waukegan, Illinois
NPI 1336115864

Marisenda Benitez is a Foot Surgery Podiatrist based in Waukegan, IL and is specialized in Foot Surgery. Marisenda Benitez practices in Waukegan, IL and has the professional credentials of DPM. The NPI Number for Marisenda Benitez is 1336115864 and holds a License No. 316-002339 (Illinois).

The current practice location address for Marisenda Benitez is 2504 Washington St, Waukegan, IL and can be reached out via phone at 847-336-9930 and via fax at 847-336-9937.

Location: 2504 Washington St, Waukegan, IL, 60085-3505
person
Provider Profile Details
NPI Number
1336115864
Provider Name
Marisenda Benitez
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
2504 Washington St, Waukegan, IL, 60085-3505
Phone Number
847-336-9930
Fax Number
847-336-9937
Provider Enumeration Date
02/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6318020001 01 IL DME
016005165 05 IL
0001623503 01 IL BLUE CROSS
5410292 01 IL CIGNA
PTAN# POO414506 01 IL RAILROAD GROUP CG8029
institution
Provider Business Practice Location Address Details
Address
2504 Washington St
City
State
Zip
60085-3505
Phone Number
847-336-9930
Fax Number
847-336-9937
person
Provider Business Mailing Address Details
Address
2504 Washington St
City
State
Zip
60085-3505
Phone Number
847-336-9930
Fax Number
847-336-9937
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
316-002339 (Illinois)
Definition
Definition to come...
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