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NPI Code Detail

MEDICARE: P W BENESHUNAS ENTERPRISES LTD

MEDICARE: P W BENESHUNAS ENTERPRISES LTD
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
1332BC3200XCustomized Equipment (DME)IL

General Provider Information

NPI Number : 1093988321
Entity Type Code : Organization
Provider Name (Legal Business Name) : P W BENESHUNAS ENTERPRISES LTD
Provider Business Mailing Address
First Line : 931 W 75TH ST
Second Line : SUITE 133
City : NAPERVILLE
State : IL
Zip : 60565-1294
Country : US
Telephone Number : 630-357-0992
Fax Number : 630-357-3503
Provider Business Practice Location Address
First Line : 931 W 75TH ST
Second Line : SUITE 133
City : NAPERVILLE
State : IL
Zip : 60565-1294
Country : US
Telephone Number : 630-357-0992
Fax Number : 630-357-3503
Authorized Official
Title or Position : OWNER
Name : WILLIAM BENESHUNAS
Credential : PEDORTHIST
Telephone Number : 630-357-0992
Provider Enumeration Date : 04/08/2008
Last Update Date : 04/08/2008

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Directions to “P W BENESHUNAS ENTERPRISES LTD ” Practice Location

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