Healthcare Provider Details

I. General information

NPI: 1588772255
Provider Name (Legal Business Name): HEALTH BENEFITS PHYSICIANS SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 E WASHINGTON BLVD #1329
CHICAGO IL
60602
US

IV. Provider business mailing address

836 ARLINGTON HEIGHTS RD #318
ELK GROVE VILLAGE IL
60007-3667
US

V. Phone/Fax

Practice location:
  • Phone: 312-332-5108
  • Fax: 312-332-5940
Mailing address:
  • Phone: 312-332-5108
  • Fax: 312-332-5940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN KIM
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 312-332-5108