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Contact Information

JONATHAN D BENSON, DO
1300 FRANKLIN AVENUE, SUITE 100
NORMAL, IL61761
 Phone: 309-268-3761
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JONATHAN D BENSON · (Male)

NPI # 1972887982
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/10/2011
Last updated 07/12/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.130914
Hospital affiliation(s)
  • BROMENN HEALTHCARE - (Acute Care)
    1304 FRANKLIN AVENUE
    NORMAL, IL 61761
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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