| Doctor Name: | BENJAMIN RATHERT |
| NPI Number: | 1275854853 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 125058103 |
| Business Practice Address: | 119 Gas Plant Rd Du Quoin, IL - 628323866 |
| Business Phone Number: | 6185428702 |
| Business Fax Number: | 6185428792 |
| Mailing Address: | Po Box 155, CHRISTOPHER |
| State: | IL |
| Postal Code: | 628220155 |
| Phone Number: | 6187242401 |
| Fax Number: | 6187244628 |
| NPI Enumeration Date: | 06/17/2010 |
| NPI Last Update Date: | 10/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 125058103 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |