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1174878672
ALISSA ZIMMERMAN BENNETT
PEORIA, IL
NPI
1174878672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL 125062318)
Enumeration Date
2012-07-20
Last Update Date
2012-07-20
Business Address
-- ALISSA ZIMMERMAN BENNETT MD
815 MAIN ST
PEORIA, IL 61602-1076
Phone number: 309-672-4977
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Mailing Address
-- ALISSA ZIMMERMAN BENNETT MD
5100 RELIABLE PKWY
CHICAGO, IL 60686-0051
Phone number: 309-672-4809
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