Doctor Name: | KRISTIN H BENNETT |
NPI Number: | 1548421621 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 036117961 |
Business Practice Address: | 2500 Ridge Ave Suite 311 Evanston, IL - 602012455 |
Business Phone Number: | 8478695800 |
Business Fax Number: | |
Mailing Address: | 601 Skokie Blvd Ste 400, NORTHBROOK |
State: | IL |
Postal Code: | 600622820 |
Phone Number: | 8475621410 |
Fax Number: | 8475620830 |
NPI Enumeration Date: | 06/20/2008 |
NPI Last Update Date: | 11/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 036117961 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |