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Contact Information

BENJAIN A BERISTAIN
3015 HAROLDS CRES
FLOSSMOOR, IL60422-2009
 Phone: 708-420-6057
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for BENJAIN A BERISTAIN · (Male)

NPI # 1285282178
Status Active
Credentials
Entity Individual
Enumeration date 09/03/2019
Last updated 09/03/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 041.481623
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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