| Doctor Name: | DR. BENJAMIN JORDAN MEYER |
| NPI Number: | 1003043837 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 125056747 |
| Business Practice Address: | 7435 W Talcott Ave Chicago, IL - 606313707 |
| Business Phone Number: | 7737748000 |
| Business Fax Number: | |
| Mailing Address: | 2342 W North Ave, Apt 4 CHICAGO |
| State: | IL |
| Postal Code: | 606476599 |
| Phone Number: | 3175071492 |
| Fax Number: | |
| NPI Enumeration Date: | 06/19/2009 |
| NPI Last Update Date: | 06/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085U0001X |
| License Number: | 125056747 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Ultrasound |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |