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Benito Colanco Bajuyo, MD
General Practice Physician in Metropolis, Illinois
NPI 1770703779

Benito Colanco Bajuyo is a General Practice Physician based in Metropolis, IL. Benito Colanco Bajuyo practices in Metropolis, IL and has the professional credentials of MD. The NPI Number for Benito Colanco Bajuyo is 1770703779 and holds a License No. 036048476 (Illinois).

The current practice location address for Benito Colanco Bajuyo is 1204 W 10Th St, Metropolis, IL and can be reached out via phone at 618-524-3572 and via fax at 618-524-3496.

Location: 1204 W 10Th St, Metropolis, IL, 62960-2467
person
Provider Profile Details
NPI Number
1770703779
Provider Name
Benito Colanco Bajuyo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1204 W 10Th St, Metropolis, IL, 62960-2467
Phone Number
618-524-3572
Fax Number
618-524-3496
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
262914 01 IL HEALTHLINK
6400025 01 IL BLUE CROSS ILLINOIS
036048476 05 IL
020024057 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1204 W 10Th St
City
State
Zip
62960-2433
Phone Number
618-524-3572
Fax Number
618-524-3496
person
Provider Business Mailing Address Details
Address
1204 W 10Th St
City
State
Zip
62960-2433
Phone Number
618-524-3572
Fax Number
618-524-3496
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
036048476 (Illinois)
Definition
Definition to come...
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