Doctor Name: | MS. KIMBERLY KATHLEEN BENKERT |
NPI Number: | 1518150259 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDH, BSDH, MPH, COM |
License Number: | 05C79 |
Business Practice Address: | 586 Duane St Suite 201 Glen Ellyn, IL - 601374639 |
Business Phone Number: | 7083093844 |
Business Fax Number: | 7083529133 |
Mailing Address: | 6605 Natasha Ct, COUNTRYSIDE |
State: | IL |
Postal Code: | 605255333 |
Phone Number: | 7083093844 |
Fax Number: | 7083529133 |
NPI Enumeration Date: | 08/27/2007 |
NPI Last Update Date: | 08/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225500000X |
License Number: | 05C79 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |