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1003579335
JAY BENOIT
SPRINGFIELD, IL
NPI
1003579335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.024076)
Enumeration Date
2021-10-13
Last Update Date
2022-01-28
Business Address
Mr. JAY BENOIT
747 N RUTLEDGE ST FL 5
SPRINGFIELD, IL 62702-6700
Phone number: 217-545-8000
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Mailing Address
Mr. JAY BENOIT
201 E MADISON ST STE 328
SPRINGFIELD, IL 62702-5131
Phone number: 217-545-8000
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