DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK J BENJAMIN, MD

Active Sole Proprietor

Ophthalmology · LA GRANGE HIGHLANDS, IL

Registration Details

NPI Number
1366433138
Provider Type
Individual
Gender
Male
NPI Issued
Nov 2, 2005 (20.484359433032 yrs)
Last Updated
Feb 25, 2009
License
036095352 (IL)
Sole Proprietor
Yes

Practice Information

Address
5201 WILLOW SPRINGS RD
SUITE 450
LA GRANGE HIGHLANDS, IL, 605256537
Browse IL providers · Browse ZIP 60525
Phone
7083542008
Fax
7083542092
Primary Specialty
Ophthalmology
207W00000X

Other Ophthalmology Providers in LA GRANGE HIGHLANDS, IL

Name Credential NPI
DR. BRUCE DUANE FICK MD 1134110422
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.