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NPI Code Detail

MEDICARE: DR. JAMES DAVID BENZ DDS

MEDICARE: DR. JAMES DAVID BENZ DDS
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
11223G0001XGeneral Practice Dentistry019016836IL

General Provider Information

NPI Number : 1275544629
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES DAVID BENZ DDS
Provider Business Mailing Address
First Line : 913 W WELLINGTON AVE FL 1
Second Line :
City : CHICAGO
State : IL
Zip : 60657-6709
Country : US
Telephone Number : 773-871-1461
Fax Number : 773-871-6353
Provider Business Practice Location Address
First Line : 913 W WELLINGTON
Second Line : FIRST FLOOR
City : CHICAGO
State : IL
Zip : 60657-5123
Country : US
Telephone Number : 773-871-1461
Fax Number : 773-871-6353
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 06/11/2025

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