Benjamin Hendrick Ticho is a Ophthalmology Physician based in Chicago Ridge, IL. Benjamin Hendrick Ticho practices in Chicago Ridge, IL and has the professional credentials of MD. The NPI Number for Benjamin Hendrick Ticho is 1992782494 and holds a License No. 036082457 (Illinois).
The current practice location address for Benjamin Hendrick Ticho is 10436 Southwest Highway, Chicago Ridge, IL and can be reached out via phone at 708-423-4070 and via fax at 708-423-4216.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01621679 | 01 | IL | BC/BS OF ILLINOIS |
| 205786 | 01 | IL | PTAN MEDICARE DUPAGE COUNTY IL |
| 253350 | 01 | IN | MEDICARE GROUP LEGACY LPI: 253350 |
| 036082457 | 05 | IL | |
| 205785 | 01 | IL | PTAN MEDICARE COOK COUNTY IL |
| M400068419 | 01 | IN | MEDICARE INDIVIDUAL PIN/PTAN: M400068419 |
| 10601008 | 01 | IN | CAQH |
| 1083684922 | 01 | GROUP NPI | |
| 200155690 | 01 | IN | INDIVIDUAL LEGACY PROVIDER |
| 200155690 | 01 | IN | INDIANA MEDICAID |
| 10601008 | 01 | IL | CAQH |
| 180046211 | 01 | IL | MEDICARE RAILROAD |
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