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Contact Information

BENNETT PARK, MD
1555 BARRINGTON RD
HOFFMAN ESTATES, IL60194-1019
 Phone: 847-843-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Diagnostic Ultrasound

2085U0001X
 

Neuroradiology

2085N0700X
 

Nuclear Radiology

2085N0904X
 

Pediatric Radiology

2085P0229X
Indicates primary specialty

NPI Profile & details for BENNETT PARK · (Male)

NPI Number 1750486668
Status Active
Credentials MD
Entity Individual
Enumeration date 09/14/2006
Last updated 03/15/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036065706
  • IL Other 05615083 BLUE CROSS PROVIDER ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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