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Contact Information

KIMBERLY K BENKERT, RDH, BSDH, MPH, COM
161 CREST RD
GLEN ELLYN, IL60137-5401
 Phone: 708-309-3844
 Fax: 630-790-5517
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
 

Dental Hygienist

124Q00000X
 

Specialist/Technologist

225500000X
Indicates primary specialty

NPI Profile & details for KIMBERLY K BENKERT · (Female)

NPI Number 1518150259
Status Active
Credentials RDH, BSDH, MPH, COM
Entity Individual
Enumeration date 08/27/2007
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 05C79
  • IL License # 020003137
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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