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NPI Code Detail

MEDICARE: BENJAMIN HOWLETT

MEDICARE:   BENJAMIN  HOWLETT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist070.028241IL

General Provider Information

NPI Number : 1710726856
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN HOWLETT
Provider Business Mailing Address
First Line : 2122 YORK RD STE 300
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1925
Country : US
Telephone Number : 630-575-6200
Fax Number :
Provider Business Practice Location Address
First Line : 7133 N WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60645-3417
Country : US
Telephone Number : 872-264-8997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2024
Last Update Date : 05/20/2024

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Directions to “ BENJAMIN HOWLETT ” Practice Location

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