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Dr. Benjamin A Dubin, MD
Specialist in Gurnee, Illinois
NPI 1356495030

Benjamin A Dubin is a Specialist based in Gurnee, IL. Benjamin A Dubin practices in Gurnee, IL and has the professional credentials of MD. The NPI Number for Benjamin A Dubin is 1356495030 and holds a License No. (Illinois).

The current practice location address for Benjamin A Dubin is 103 S Greenleaf St, Gurnee, IL and can be reached out via phone at 847-662-8201 and via fax at 847-662-8215.

Location: 103 S Greenleaf St, Gurnee, IL, 60031-3380
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356495030
Provider Name
Benjamin A Dubin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
103 S Greenleaf St, Gurnee, IL, 60031-3380
Phone Number
847-662-8201
Fax Number
847-662-8215
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0360399611 05 IL
453550 01 IL MEDICARE GRP NUMBER
1609827237 01 IL NPI PRACTICE NUMBER
K39550 01 IL MDR INDIVIDUAL NUMBER
4920144 01 IL BCBS PROVIDER #
4392571 01 IL AETNA PROVIDER NUMBER
7248829002 01 IL CIGNA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
103 S Greenleaf St
City
Gurnee
State
Illinois
Zip
60031-3380
Phone Number
847-662-8201
Fax Number
847-662-8215
person
Provider Business Mailing Address Details
Address
103 S Greenleaf St
City
Gurnee
State
Illinois
Zip
60031-3380
Phone Number
847-662-8201
Fax Number
847-662-8215
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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