BENJAMIN NEWELL WINDHAM

CHAMPAIGN, IL
NPI1104478932
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209030250)
Enumeration Date2019-07-11
Last Update Date2024-11-19
Business Address
BENJAMIN NEWELL WINDHAM APRN
1801 W WINDSOR RD
CHAMPAIGN, IL 61822-6217
Phone number: 217-366-8130
Mailing Address
BENJAMIN NEWELL WINDHAM APRN
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3981
Phone number: 217-366-8130
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