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NPI Code Detail

MEDICARE: DR. CARL BENJAMIN TOREN M.D.

MEDICARE: DR. CARL BENJAMIN TOREN M.D.
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
1208000000XPediatrics Physician036071979IL
2208000000XPediatrics Physician01076387AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700827128
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARL BENJAMIN TOREN M.D.
Provider Business Mailing Address
First Line : 1313 W CHICAGO AVE
Second Line :
City : EAST CHICAGO
State : IN
Zip : 46312-3316
Country : US
Telephone Number : 219-398-9685
Fax Number : 219-398-9695
Provider Business Practice Location Address
First Line : 1313 W CHICAGO AVE
Second Line :
City : EAST CHICAGO
State : IN
Zip : 46312-3316
Country : US
Telephone Number : 219-398-9685
Fax Number : 219-398-9695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 02/10/2021

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