MEDICARE: BENJAMIN VONFISCHER D.O.

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
1	207P00000X	Emergency Medicine Physician	036-115799	IL

General Provider Information

NPI Number	:	1285678383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN VONFISCHER D.O.

Provider Business Mailing Address
First Line	:	1 TRANSAM PLAZA DR
Second Line	:	SUITE 360
City	:	OAKBROOK TERRACE
State	:	IL
Zip	:	60181-4822
Country	:	US
Telephone Number	:	630-785-9100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 TRANSAM PLAZA DR
Second Line	:	SUITE 360
City	:	OAKBROOK TERRACE
State	:	IL
Zip	:	60181-4822
Country	:	US
Telephone Number	:	630-785-9100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	04/29/2014

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Directions to “ BENJAMIN VONFISCHER D.O.” Practice Location

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